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Individual
MR. THOMAS ALLAN LAUDINO
Active
Individual
MR. THOMAS ALLAN LAUDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099104
ANTHEM S
ME
01
—
11521161
CAQH UNIVERSAL CREDENTIAL
ME
01
—
PT2973
LICENSE#
ME
Enumeration date
11/03/2006
Last updated
11/19/2013
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