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Individual

CHRISTY LYNN ENGRACIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10227
AZ
225100000X
Physical Therapist
Primary
60572607
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10227
ARIZONA PT LICENSE
AZ
01
60572607
WA PT LICENSE
WA
Enumeration date
09/27/2013
Last updated
12/08/2021
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