Individual
DAYZA MALIBIRAN LULUQUISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L070014097
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900327572
UNITED HEALTH CARE
IL
Enumeration date
08/07/2020
Last updated
08/07/2020
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