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Individual
KATHY VAN METZGER
Active
Individual
KATHY VAN METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002050
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002799
BLUE CROSS BLUE SHIELD VT
—
05
—
1007642
—
VT
01
—
7998591
AETNA
—
Enumeration date
07/29/2006
Last updated
08/11/2010
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