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Individual

MR. ALBERT J DIMICCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH154
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51502562
BCBS
AL
01
51524776
BCBS
AL
Enumeration date
05/08/2006
Last updated
09/09/2010
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