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Individual

KAREN GLASOE MOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16116
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
229967
MDIPA/OC/MAMSI/APPO
MD
01
4650653
AETNA PPO
MD
01
529951
AETNA HMO
MD
01
544077-01
CAREFIRST BC/BS
MD
01
KY69CR
CAREFIRST BC/BS
MD
01
R9260003
CAREFIRST BC/BS FEP
MD
Enumeration date
08/30/2006
Last updated
07/08/2007
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