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Individual
TAMI SUE LINES
Active
Individual
TAMI SUE LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22990
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
03/15/2018
Last updated
03/15/2018
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