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Individual
PAULA M DEFREES
Active
Individual
PAULA M DEFREES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
070-005572
IL
225100000X
Physical Therapist
Primary
PT38729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140049
MEDICARE GROUP NUMBER
IL
Enumeration date
03/14/2007
Last updated
03/28/2012
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