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Individual
MRS. TAMMY LEE ALBERT
Active
Individual
MRS. TAMMY LEE ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008588L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015935850001
—
PA
01
—
251570641
TAX ID
PA
Enumeration date
06/28/2006
Last updated
02/11/2009
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