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Individual
TIA JAVIER
Active
Individual
TIA JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. M.S. , CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
2204000336
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982657433
—
VA
Enumeration date
06/29/2019
Last updated
03/15/2021
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