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Individual
CELINA LIEHLA GONCALVES
Active
Individual
CELINA LIEHLA GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25039
MA
225100000X
Physical Therapist
25039
MA
2251P0200X
Pediatric Physical Therapist
Primary
25039
MA
Other
Enumeration date
07/30/2021
Last updated
12/30/2022
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