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Individual
TODD C PERRY
Active
Individual
TODD C PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0004037
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119347300
—
WY
05
—
20576340
—
CO
01
—
P00300395
RR MEDICARE
CO
Enumeration date
11/22/2005
Last updated
12/16/2019
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