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Individual

DAVID LEE PINKERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10002156
DE
225100000X
Physical Therapist
PT9256
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023043346
CHAMPUS TRICARE
05
1023043346
DE
01
2848238000
AMERIHEALTH/IBC
PA
01
5070-0045
CARE FIRST
01
88760501
NCA
01
J10002156
DE LICENSE
DE
Enumeration date
07/12/2006
Last updated
03/12/2013
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