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Individual

MR. RICK A PSONAK

Active
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Individual

MR. RICK A PSONAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO1452
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02901340
—
MS
01
—
CPO1452
CERIFICATION
MS
Enumeration date
10/12/2006
Last updated
02/14/2008
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