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Individual

KATHRYN A BLASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11210-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11014110
WI
01
11210-024
WI LICENSE
WI
01
1851477913
CMH NPI
WI
01
390848401050
ANTHEM
WI
Enumeration date
08/05/2009
Last updated
05/26/2020
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