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Individual
ENRIQUE JOHAN FALK
Active
Individual
ENRIQUE JOHAN FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT305553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053320325
GROUP NPI
—
01
—
ZZZ29361Z
MCPTAN
—
Enumeration date
02/26/2024
Last updated
03/11/2024
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