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Individual
TEODROS HAILU
Active
Individual
TEODROS HAILU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
—
NULL
261QP2000X
Physical Therapy Clinic/Center
Primary
20335
MD
Other
Enumeration date
12/18/2008
Last updated
09/27/2024
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