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Individual

ROBERT M. KAMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT-2023-0018
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5059598860
NEW MEXICO MVD
NM
Enumeration date
02/14/2023
Last updated
02/14/2023
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