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Individual
PAUL ROBERT REID
Active
Individual
PAUL ROBERT REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10002297
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19976
LICENSE#
MD
01
—
P17895
PT LICENSE
NC
Enumeration date
11/07/2006
Last updated
01/08/2024
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