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Individual
KATHERINE V ST. PERE
Active
Individual
KATHERINE V ST. PERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003186A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000501243
BLUE CROSS BLUE SHIELD
IN
05
—
200839510
—
IN
Enumeration date
12/22/2005
Last updated
08/21/2017
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