# GARY KATZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679550099
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 17497 | MD | Yes |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 05/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2160584 | ACN | — |
| 01 | — | 542610-31 | BCBS OF MARYLAND | — |
| 01 | — | 7914198 | AETNA | — |
| 01 | — | T208 | BLUECHOICE/GHMSI | — |