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Individual

MS. LINDA J. OWOC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0789
NH
225100000X
Physical Therapist
5763
MA
225100000X
Physical Therapist
PT005694L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08Y004036NH03
ANTHEM INDIVIDUAL ID#
NH
05
3078496
NH
01
7182388
AETNA-INDIVIDUAL PROVIDER
NH
01
7862579
CIGNA GROUP ID ONLY
NH
Enumeration date
12/21/2005
Last updated
09/09/2013
Update your record

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