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Individual
SAMY S TADROS
Active
Individual
SAMY S TADROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
031785
NY
225100000X
Physical Therapist
2305209874
VA
225100000X
Physical Therapist
Primary
30815
FL
2251X0800X
Orthopedic Physical Therapist
PT30815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019347000
—
FL
Enumeration date
12/15/2011
Last updated
12/23/2021
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