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Individual

EMILEE STRANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29190
MD
225100000X
Physical Therapist
PT029059
PA
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT029059
STATE LICENSE
PA
Enumeration date
06/02/2021
Last updated
01/31/2024
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