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Individual
JOEL C NINOS
Active
Individual
JOEL C NINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001864E
PA
2251S0007X
Sports Physical Therapist
PT001864E
PA
2251X0800X
Orthopedic Physical Therapist
PT001864E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052130
ORTHONET
PA
01
—
01931101
BLUE CROSS
PA
01
—
087134
MEDICARE
PA
01
—
4576843
AETNA
PA
01
—
567736
FIRST PRIORITY LIFE
PA
Enumeration date
09/20/2005
Last updated
07/31/2009
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