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Individual
KATIE MARA SHERIDAN
Active
Individual
KATIE MARA SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020496
IL
225100000X
Physical Therapist
5501013779
MI
Other
Enumeration date
04/17/2008
Last updated
02/18/2014
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