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Individual
MR. PETER STUCCHI
Active
Individual
MR. PETER STUCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1172840
TX
225100000X
Physical Therapist
Primary
9310
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52431339
—
CO
01
—
8T7099
BC/BS
TX
Enumeration date
11/01/2006
Last updated
07/25/2013
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