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Individual
JOHN LY
Active
Individual
JOHN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1318726
TX
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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