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Individual
TERRI LYNN DAMA
Active
Individual
TERRI LYNN DAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2355-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1851477913
CMH NPI
WI
01
—
390848401050
BLUE CROSS BLUE SHIELD
WI
Enumeration date
01/22/2009
Last updated
02/05/2015
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