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Individual

DR. ANNA REDICK

Active
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Individual

DR. ANNA REDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34594
FL
2251P0200X
Pediatric Physical Therapist
PT.9281
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT.9281
SOUTH CAROLINA PT LICENSE
SC
01
PT34594
PT LICENSE
FL
Enumeration date
08/22/2018
Last updated
11/22/2024
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