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Individual
RIO CAMILLE BALTAZAR
Active
Individual
RIO CAMILLE BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1239581
TX
225100000X
Physical Therapist
Primary
40QA01787400
NJ
Other
Enumeration date
04/14/2017
Last updated
01/19/2021
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