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Individual
LUCILIA GONCALVES PORTELA
Active
Individual
LUCILIA GONCALVES PORTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
029216
NY
225100000X
Physical Therapist
Primary
39512
CA
Other
Enumeration date
04/25/2007
Last updated
07/12/2018
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