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Individual
RELLIE BANSIL
Active
Individual
RELLIE BANSIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 30893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J1-0003075
EXAMINING BOARD OF PHYSICAL THERAPISTS AND ATHLETIC TRAINERS
DE
01
—
PT 30893
FLORIDA BOARD OF PHYSICAL THERAPY
FL
Enumeration date
11/06/2016
Last updated
11/06/2016
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