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Individual
MRS. KATHRYN CLARKIN PATRICK
Active
Individual
MRS. KATHRYN CLARKIN PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1421
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079VU
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
10/03/2006
Last updated
07/08/2007
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