Individual
JUAN CAMILO PAZ DELGADO
Active
Individual
JUAN CAMILO PAZ DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1106327
KS
225100000X
Physical Therapist
2019030127
MO
225100000X
Physical Therapist
Primary
CP029705T
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO29705T
PT LICENSE
NC
Enumeration date
10/01/2019
Last updated
04/15/2024
Update your record
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