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Individual
PAUL ALPERT C REGACHO
Active
Individual
PAUL ALPERT C REGACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012736
IL
225X00000X
Occupational Therapist
31006780A
IN
Other
Enumeration date
10/08/2018
Last updated
10/26/2018
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