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Individual
MS. ROXANA I SANTAELLA
Active
Individual
MS. ROXANA I SANTAELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, C/NDT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1172067
TX
222Q00000X
Developmental Therapist
30054
FL
225100000X
Physical Therapist
Primary
1172067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017055200
—
FL
05
—
143404501
—
TX
01
—
1629189246
NPI #
TX
01
—
742965954
FACILITY TAX ID NO.
TX
Enumeration date
03/08/2007
Last updated
07/03/2018
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