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Individual

MRS. MICHELLE A DENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10000404
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000038038
DE
01
2858669000
IBC AMERIHEALTH
DE
01
5070-0051
CAREFIRST
01
808524
PABS
DE
01
91138001
NCA
Enumeration date
06/16/2006
Last updated
08/18/2009
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