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Individual
KATHLEEN S ACKROYD
Active
Individual
KATHLEEN S ACKROYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225100000X
DE
225100000X
Physical Therapist
40QA00602100
NJ
225100000X
Physical Therapist
Primary
PT005457L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002280945
DPCI
—
01
—
0450232000
IBC
—
05
—
102335846 0001
—
PA
01
—
141054ZB82
MEDICARE
DE
01
—
145211VLZ
MEDICARE
PA
05
—
1598731044
—
DE
01
—
30061379
KEYSTONE MERCY
PA
01
—
57181
PA BLUE SHIELD
PA
01
—
P00692844
RAILROAD MEDICARE
PA
01
—
P00692854
RAILROAD MEDICARE
—
Enumeration date
02/24/2006
Last updated
11/04/2010
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