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Individual
HAIDEH PLOCK
Active
Individual
HAIDEH PLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19918
CA
Other
Enumeration date
11/30/2005
Last updated
09/29/2011
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