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Individual
KORI ANTHONY
Active
Individual
KORI ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1231591
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3277840
—
TX
01
—
891T94
BCBS
TX
01
—
P01355528
MEDICARE RAILROAD
TX
Enumeration date
08/06/2013
Last updated
10/14/2014
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