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Individual

TAMARA M WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2935
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022551
OR
Enumeration date
01/22/2007
Last updated
06/01/2020
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