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Individual

PAMELA PEDUTO

Active
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Individual

PAMELA PEDUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006263L
PA
2251G0304X
Geriatric Physical Therapist
2251P0200X
Pediatric Physical Therapist
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00194863
RAILROAD MEDICARE
01
11454369
CAQH
01
1676332
HIGHMARK BLUE SHIELD
01
2001144
KEYSTONE
01
257171
HEALTH ASSURANCE
01
3732909
AETNA HMO
01
4457139
AETNA PPO
01
50044273
CAPITAL BLUE CROSS
01
818899
FIRST PRIORITY HEALTH
Enumeration date
09/29/2005
Last updated
07/19/2007
About Stedi
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