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Individual
MR. TROY THOMAS VANNUCCI
Active
Individual
MR. TROY THOMAS VANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005649
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195911
DEPT LABOR & INDUSTRY
WA
01
—
3522VA
ASURIS NORTHWEST
—
05
—
8421869
—
WA
Enumeration date
07/11/2006
Last updated
07/09/2007
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