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Individual
MRS. SELINA MENDIETA MORGAN
Active
Individual
MRS. SELINA MENDIETA MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., A.T.P.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1047819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209811304
—
TX
01
—
209811305
CSHCN
TX
Enumeration date
04/01/2009
Last updated
05/23/2022
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