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Individual
MRS. MARICON SIAPNO PEPINGCO
Active
Individual
MRS. MARICON SIAPNO PEPINGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT019272
PA
225100000X
Physical Therapist
Primary
PT40QA01226200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT019272
STATE BOARD OF PHYSICAL THERAPY
PA
01
—
PT40QA01226200
STATE BOARD OF PHYSICAL THERAPY
NJ
Enumeration date
05/23/2007
Last updated
05/13/2015
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