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Individual
DANIEL RAYMOND PERSICHETTI
Active
Individual
DANIEL RAYMOND PERSICHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1170488
TX
2251G0304X
Geriatric Physical Therapist
Primary
34315
CA
Other
Enumeration date
05/22/2007
Last updated
11/23/2020
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