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Individual
MRS. WENDY JANE CARRANCO
Active
Individual
MRS. WENDY JANE CARRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
52071
AL
225100000X
Physical Therapist
Primary
PT14738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52071
AL PT LICENSE
AL
01
—
PT14738
PHYSICAL THERAPY LICENSE
FL
Enumeration date
05/01/2007
Last updated
01/18/2016
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