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Individual

MRS. MARIA DULCE CARUNUNGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT,DPT, MS, GCS, CWS

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000791
WV
225100000X
Physical Therapist
2305202126
VA
2251G0304X
Geriatric Physical Therapist
000791
WV

Other

Enumeration date
05/13/2008
Last updated
05/13/2008
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