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Individual
KATHERINE LARSON NAITOVE
Active
Individual
KATHERINE LARSON NAITOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CERT MDT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
050499
NY
225100000X
Physical Therapist
070.019942
IL
225100000X
Physical Therapist
PT013345
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12569054
CAQH NUMBER
—
Enumeration date
07/11/2013
Last updated
04/17/2024
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