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Individual
NOAH WASSERMAN
Active
Individual
NOAH WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01167700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA0116700
PT LICENSE
NJ
Enumeration date
01/08/2008
Last updated
11/09/2015
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