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Individual

KARINGTON NICOLE KETTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1600 WILSON BLVD STE 102, ARLINGTON, VA 22209-2505
(703) 935-1996
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
004645
WV
225100000X
Physical Therapist
Primary
2305215799
VA
225100000X
Physical Therapist
PT004645
WV

Other

Enumeration date
05/24/2023
Last updated
03/04/2026
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