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Individual
ERIN WONDER
Active
Individual
ERIN WONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3104059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111408402
—
TX
01
—
3104059
TX TEMP LICENSE
TX
Enumeration date
06/25/2007
Last updated
10/10/2019
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