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Individual
STEPHEN R KANGIOR
Active
Individual
STEPHEN R KANGIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5457
CO
2251X0800X
Orthopedic Physical Therapist
1096
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025428900
—
NE
05
—
10025429000
—
NE
05
—
10025429100
—
NE
05
—
10025429200
—
NE
05
—
10025429300
—
NE
Enumeration date
02/03/2008
Last updated
10/28/2022
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