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Individual

MRS. ERIN PARKER PANDOL

Active
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Individual

MRS. ERIN PARKER PANDOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT, OCS

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26763
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0PT267631
MEDICARE INDIVIDUAL PTAN
CA
01
P00113611
RAILROAD MEDICARE PTAN
CA
01
ZZZ21295Z
MEDICARE GROUP PTAN
CA
Enumeration date
08/16/2005
Last updated
04/13/2016
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