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Individual
MRS. PATRICIA JULIA AMEZAGA
Active
Individual
MRS. PATRICIA JULIA AMEZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011305
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314522A
—
GA
Enumeration date
12/30/2013
Last updated
03/01/2021
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