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Individual

PATRICIA KAY SUBLETT

Active
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Individual

PATRICIA KAY SUBLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
FL 6666
FL
225100000X
Physical Therapist
PTH1787
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000033920
AL
01
33920
BLUE CROSS BLUE SHIELD
AL
05
527086
AL
Enumeration date
08/25/2006
Last updated
11/24/2008
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