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Individual
SHERWIN LARRACAS
Active
Individual
SHERWIN LARRACAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1121242
TX
2251G0304X
Geriatric Physical Therapist
Primary
1121242
TX
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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