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Individual
MRS. SOFIA A WILTENS
Active
Individual
MRS. SOFIA A WILTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1062495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T0936
BCBS
TX
Enumeration date
08/17/2006
Last updated
11/07/2007
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