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Individual
MS. MARY RUTH VELICKI
Active
Individual
MS. MARY RUTH VELICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSPT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12330
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12330
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
11/02/2015
Last updated
03/17/2018
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