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Individual
TRACY SIMILUK
Active
Individual
TRACY SIMILUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002728
WV
225100000X
Physical Therapist
Primary
15058
FL
225100000X
Physical Therapist
3626
ID
225100000X
Physical Therapist
60670
OR
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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