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Individual
LIEZL XYRA CANONEO REYES
Active
Individual
LIEZL XYRA CANONEO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
Primary
PT39061
FL
Other
Enumeration date
02/13/2021
Last updated
10/28/2022
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