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Individual
SOMMER M TEMPLE
Active
Individual
SOMMER M TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018681
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232924881
VOR TAX ID
PA
01
—
251570641
OSPTA TAX ID
PA
01
—
467320
OSPTA BCBS #
PA
01
—
968089
VOR BCBS #
PA
Enumeration date
05/23/2007
Last updated
07/08/2007
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