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Individual
MR. SUNIL SAM GEORGE
Active
Individual
MR. SUNIL SAM GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-007734
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7734
STATE LICENSE
AZ
Enumeration date
11/14/2007
Last updated
03/05/2025
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