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Individual
MRS. MEREDITH ANN FESS
Active
Individual
MRS. MEREDITH ANN FESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTO-16391
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102198809-0001
—
PA
01
—
11779874
KEYSTONE MERCY
PA
01
—
1619596
HIGHMARK PABS
PA
01
—
2297301000
IBC
PA
01
—
30060798
KEYSTONE MERCY
PA
01
—
P00692852
RAILROAD MEDICARE
PA
Enumeration date
07/04/2006
Last updated
11/04/2010
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