Individual
KATHRYN MARIE SACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009130
CT
225100000X
Physical Therapist
Primary
PT02391
RI
2255A2300X
Athletic Trainer
AT00272
RI
Other
Enumeration date
04/03/2012
Last updated
01/08/2018
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