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Individual
RICHARD BELL WARDROP
Active
Individual
RICHARD BELL WARDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005614L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000762633
HIGHMARK BC/BS
PA
05
—
0015330120004
—
PA
01
—
167394
THREE RIVERS
PA
Enumeration date
09/30/2005
Last updated
01/28/2011
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