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Individual
STANISLAVA MEDIGOVIK
Active
Individual
STANISLAVA MEDIGOVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41824
FL
225100000X
Physical Therapist
PT60571720
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102455719-0001
—
PA
01
—
1316265804
BRAVO
PA
05
—
1316265804
—
DE
05
—
2056536
—
WA
01
—
2502494
PA BLUE SHIELD
—
01
—
30072582
KEYSTONE MERCY
PA
01
—
306208
UNISON
—
01
—
3779584000
IBC
PA
Enumeration date
05/10/2010
Last updated
06/15/2026
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