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Individual
DR. WASIT JIMMY CHUASIRIPORN
Active
Individual
DR. WASIT JIMMY CHUASIRIPORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2305213568
VA
225100000X
Physical Therapist
Primary
2305213568
VA
225200000X
Physical Therapy Assistant
A4332
MD
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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