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Individual
ROBERT PACE
Active
Individual
ROBERT PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293796
CA
225100000X
Physical Therapist
AZ4402
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ4402
PT LICENSE
AZ
01
—
PT293796
PHYSICAL THERAPY
CA
Enumeration date
05/02/2007
Last updated
09/28/2018
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