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Individual
REGINA CORTEZ
Active
Individual
REGINA CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25397
MA
225100000X
Physical Therapist
Primary
40QA01983100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25397
BOARD OF ALLIED HEALTH PROFESSIONALS
MA
05
—
25397
—
MA
01
—
40QA01983100
NJ BOARD OF CONSUMER AFFAIRS
NJ
Enumeration date
12/23/2020
Last updated
02/17/2021
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