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Individual

MARTIN D MOHR

Active
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Individual

MARTIN D MOHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 751
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121303200
WY
01
313673
BCBS
WY
01
P00326412
RAILROAD MEDICARE
WY
Enumeration date
08/12/2005
Last updated
11/20/2018
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