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Individual
MR. JOSHUA LURIE
Active
Individual
MR. JOSHUA LURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EP345Y
MEDICARE PTAN
CA
Enumeration date
08/25/2010
Last updated
08/05/2012
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