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Individual
KERWIN NOEL PAYABYAB CUSTODIO
Active
Individual
KERWIN NOEL PAYABYAB CUSTODIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1190952
TX
2251N0400X
Neurology Physical Therapist
1190952
TX
2251X0800X
Orthopedic Physical Therapist
1190952
TX
Other
Enumeration date
09/19/2011
Last updated
12/16/2022
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