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Individual
MR. FREDERICK JOHN SANTOS SANTOS
Active
Individual
MR. FREDERICK JOHN SANTOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.008623
IL
225X00000X
Occupational Therapist
113299
TX
225X00000X
Occupational Therapist
Primary
2009028272
MO
225X00000X
Occupational Therapist
2615
NM
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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