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Individual
KENT TSURUO MORIMATSU
Active
Individual
KENT TSURUO MORIMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5015
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5015
PT LICENCE
OR
01
—
520244002
REGENCE
OR
Enumeration date
02/21/2006
Last updated
04/20/2011
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