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Individual

MRS. CHERYL A STETZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20376
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
402630600
MD
01
61138805
CAREFIRST BCBS MD
MD
01
810582810
MAMSI
MD
01
G5400002
BLUECHOICE FEDERAL BCBS
MD
Enumeration date
07/07/2006
Last updated
04/10/2014
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