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Individual
DR. KYLE LOUIS ULRICH
Active
Individual
DR. KYLE LOUIS ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB212387
MEDICARE ID
CA
Enumeration date
12/05/2011
Last updated
06/23/2014
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