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Individual

MRS. ELIDA GOLOB

Active
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Individual

MRS. ELIDA GOLOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT00003108
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
PHYSICAL THERAPY
WA
01
PT00003108
PHYSIACL THERAPY
WA
Enumeration date
05/26/2008
Last updated
05/26/2008
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