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Individual
REBECCA MISANIN
Active
Individual
REBECCA MISANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12767-24
WI
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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