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Individual

ELIZABETH RAE DUB

Active
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Individual

ELIZABETH RAE DUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC, PT, DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2826
ND
2255A2300X
Athletic Trainer
912-21
ND

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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