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Individual
RICHARD ANCELL
Active
Individual
RICHARD ANCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1116184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3460644-01
—
TX
Enumeration date
03/06/2015
Last updated
02/28/2022
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