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Individual

MRS. REBECCA L PAGOTELIS

Active
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Individual

MRS. REBECCA L PAGOTELIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5138
AZ
225100000X
Physical Therapist
Primary
PT00007987
WA
225100000X
Physical Therapist
RPT1677
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225015753
—
WA
05
—
8438046
—
WA
Enumeration date
12/27/2005
Last updated
11/03/2010
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