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Individual

KATHRYN L. WERDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT, DPT, OCS

Contact information

Practice address
6301 UNIVERSITY COMMONS, SUITE 430, SOUTH BEND, IN 46635-1571
(574) 968-8251
(574) 968-2855
Mailing address
6301 UNIVERSITY COMMONS, SUITE 230, SOUTH BEND, IN 46635-1571
(574) 251-2100
(574) 251-2150

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05011691A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201293020
IN
01
LAY68088
BCBS OF MA
MA
Enumeration date
10/13/2006
Last updated
07/13/2015
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