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Individual
VANESSA MARIE MACASHET LAGERA
Active
Individual
VANESSA MARIE MACASHET LAGERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006484
VA
225100000X
Physical Therapist
PT14177
FL
225100000X
Physical Therapist
PT870236
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4695 0023
BCBS NCA PROVIDER#
DC
Enumeration date
07/10/2006
Last updated
09/05/2007
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