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Individual
MS. LINDA LOUISE PELLETIER
Active
Individual
MS. LINDA LOUISE PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001767E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001731000
MEDICAL ASSISTANCE PROVID
PA
Enumeration date
07/28/2005
Last updated
05/10/2018
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