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General NPI Number Information
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NPI Number | 1053506642
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Entity Type | Individual
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Provider Name | CARRIE A SEGULJA P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 5839 ARNCLIFFE DR
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City | HOUSTON
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State | TX
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Zip | 77088-4205
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Country | US
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Telephone | 832-428-9308
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Fax |
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Provider Business Mailing Address
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Address Line | 5839 ARNCLIFFE DR
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City | HOUSTON
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State | TX
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Zip | 77088-4205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1153301
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 17994
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP046381T
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License Number State | WI
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