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Individual
JOSEPH BERTUCCI
Active
Individual
JOSEPH BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025877
PA
2251X0800X
Orthopedic Physical Therapist
PT025877
PA
Other
Enumeration date
02/23/2017
Last updated
09/14/2020
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