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Individual

DANIEL RAFAEL ONTIVEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25689
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y0KX9
FLORIDA BLUE
FL
Enumeration date
12/11/2013
Last updated
11/25/2020
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