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Individual
ELIZABETH JUAREZ
Active
Individual
ELIZABETH JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21729
CA
2251P0200X
Pediatric Physical Therapist
PT21729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT21729
PHYSICAL THERAPIST LICENSE
CA
Enumeration date
01/07/2009
Last updated
12/31/2012
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