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Individual

MISS HILARY YOKO SADOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05012013A
IN
225100000X
Physical Therapist
Primary
5501017497
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05012013A
LICENSE NUMBER
IN
01
5501017497
LICENSE NUMBER
MI
Enumeration date
05/09/2016
Last updated
05/09/2016
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