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Individual
TERRY DITMAR
Active
Individual
TERRY DITMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5754
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000035309
BOSTON HEALTHNET
MA
05
—
0300675
—
MA
01
—
043527
CONNECTICARE-GROUP NO.
MA
01
—
043527497
PHCS
MA
01
—
080005754MA02
ANTHEM
MA
01
—
103355100
DEPT. OF LABOR
MA
01
—
11222700
CAQH
MA
01
—
28117
HNE
MA
01
—
3276068
OXFORD
MA
01
—
4214910
AETNA
MA
01
—
468825
TUFTS
MA
01
—
5488334
CIGNA
MA
01
—
650021641
RAILROAD MEDICARE
MA
05
—
9715568
—
MA
01
—
972730
NETWORK
MA
01
—
AA49027
HARVARD PILGRIM
MA
01
—
Y66833
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/10/2006
Last updated
05/14/2008
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