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Individual
JAREB C LANDON
Active
Individual
JAREB C LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-34078
FL
2251P0200X
Pediatric Physical Therapist
PT6215
ID
2251X0800X
Orthopedic Physical Therapist
PT-34078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111170900
—
FL
Enumeration date
03/05/2019
Last updated
11/20/2024
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