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Individual
MR. JOSEPHUS PETER TOLENTINO WYCOCO
Active
Individual
MR. JOSEPHUS PETER TOLENTINO WYCOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTRP, RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1283393
TX
225100000X
Physical Therapist
4663
NM
225100000X
Physical Therapist
Primary
PT301950
CA
Other
Enumeration date
01/03/2018
Last updated
06/21/2024
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