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Individual
MR. LOSSON DEMEL
Active
Individual
MR. LOSSON DEMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2138499
TX
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138499
PTA
TX
Enumeration date
10/16/2018
Last updated
05/15/2019
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