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Individual
DR. KENNETH PETER SOAVE
Active
Individual
DR. KENNETH PETER SOAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.,D.P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002412
MI
2251S0007X
Sports Physical Therapist
5501002412
MI
2251X0800X
Orthopedic Physical Therapist
5501002412
MI
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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