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Individual
LIZA S DEVEREUX
Active
Individual
LIZA S DEVEREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0139050
—
CA
Enumeration date
08/31/2006
Last updated
07/08/2007
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