Individual
NORA ABELEDO DE MAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003045A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233950
MEDICARE GROUP NUMBER
IN
Enumeration date
10/12/2006
Last updated
11/25/2008
Update your record
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