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Individual
MARY CHRISTIANNE DELOS REYES DELA ROSA
Active
Individual
MARY CHRISTIANNE DELOS REYES DELA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT027458
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33453625
DRIVERS LICENSE
PA
Enumeration date
02/10/2020
Last updated
07/21/2022
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