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Individual
KATELYN SAGE
Active
Individual
KATELYN SAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
7683
SC
302R00000X
Health Maintenance Organization
7683
SC
Other
Enumeration date
08/31/2015
Last updated
01/20/2020
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