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Individual
MISS EMMA LYN MENDOZA SANTOS
Active
Individual
MISS EMMA LYN MENDOZA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26325
MD
225100000X
Physical Therapist
Primary
296109
CA
225100000X
Physical Therapist
62127
OR
225100000X
Physical Therapist
PT32271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W232050101
AETNA
FL
Enumeration date
01/13/2017
Last updated
03/31/2020
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