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Individual
MRS. ROBIN L CULLIP
Active
Individual
MRS. ROBIN L CULLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ04748Z
MEDICARE INDIVIDUAL PTAN
CA
01
—
ZZZ21295Z
MEDICARE GROUP PTAN
CA
Enumeration date
03/20/2007
Last updated
06/04/2008
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