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Individual
REBECCA ASHLEY MAITIN
Active
Individual
REBECCA ASHLEY MAITIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
325480-01
NY
Other
Enumeration date
03/27/2019
Last updated
01/06/2025
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