Individual
REGIDOR ADRIANO VERZOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002290
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518138767
DPCI
DE
05
—
1518138767
—
DE
01
—
252522
UNISON
—
01
—
3780062000
IBC
DE
01
—
P00885367
RAILROAD MEDICARE
DE
Enumeration date
03/17/2008
Last updated
02/28/2011
Update your record
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