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Individual
TINA K HERSTON
Active
Individual
TINA K HERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1349645
TX
225100000X
Physical Therapist
33871
FL
225100000X
Physical Therapist
PT33871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4285322
—
TX
01
—
8QC883
BCBS
TX
Enumeration date
08/23/2018
Last updated
10/18/2021
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