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Individual
WILLIAM MCCREEDY
Active
Individual
WILLIAM MCCREEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9497
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341316
ANTHEM BLUE CROSS
OH
01
—
20091786600
OHIO BWC
OH
01
—
29789687004
MEDICAL MUTUAL
OH
Enumeration date
08/18/2006
Last updated
10/18/2012
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