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Individual

GIA SERAFINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006890
CT
225100000X
Physical Therapist
032692-1
NY
225100000X
Physical Therapist
Primary
15652
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006890
LICENSE #
CT
01
15652
MA LICENSE NUMBER
MA
Enumeration date
08/30/2006
Last updated
12/17/2012
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