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Individual
MRS. KATIE MATONIS PALMER
Active
Individual
MRS. KATIE MATONIS PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01312000
NJ
225100000X
Physical Therapist
Primary
PT019816
PA
Other
Enumeration date
09/15/2010
Last updated
01/11/2011
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