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Individual

KATHERINE DECAROLIS

Active
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Individual

KATHERINE DECAROLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002323
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00007287
BC/BS
VT
05
1008410
VT
01
2729233
CIGNA
VT
01
43V082
MVP
VT
Enumeration date
11/03/2006
Last updated
05/29/2019
About Stedi
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