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Individual
MICHELLE OUELLETTE
Active
Individual
MICHELLE OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
21765
MD
225100000X
Physical Therapist
30386
CA
225100000X
Physical Therapist
Primary
70014579
IL
Other
Enumeration date
05/01/2007
Last updated
07/15/2020
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