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Individual
JUSTIN MICHAEL KULP
Active
Individual
JUSTIN MICHAEL KULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01556300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3890452000
AMERIHEALTH/IBC
DE
Enumeration date
09/21/2012
Last updated
06/08/2017
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