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Individual
DAVID ALAN POVLOCK
Active
Individual
DAVID ALAN POVLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0193261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02385591
—
NY
Enumeration date
09/27/2006
Last updated
07/09/2007
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