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Individual
MICHAEL ROBERT TANGERT
Active
Individual
MICHAEL ROBERT TANGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
032507-1
NY
225100000X
Physical Therapist
Primary
PT019905
PA
Other
Enumeration date
03/23/2010
Last updated
03/31/2020
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