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Individual

DENNIS CLARENCE MONTET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
278
IA
225100000X
Physical Therapist
3002
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0180299
IA
01
28976
WELLMARK
IA
Enumeration date
11/08/2005
Last updated
05/22/2008
Update your record

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