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Individual
JEANNETTE LILIANA MACHUCA
Active
Individual
JEANNETTE LILIANA MACHUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT8150
PT8150
FL
Enumeration date
11/15/2010
Last updated
11/04/2021
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