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Individual
PETYA DJOUBRAILOV
Active
Individual
PETYA DJOUBRAILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208035
VA
225700000X
Massage Therapist
0019008522
VA
Other
Enumeration date
07/25/2013
Last updated
11/06/2023
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