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Individual
DAVID CEGELKA
Active
Individual
DAVID CEGELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3406
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003406CT03
ANTHEM BC BS
CT
01
—
080003406CT05
ANTHEM BBC BS
CT
Enumeration date
10/20/2006
Last updated
10/26/2007
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