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Individual

KATHERINE O ST. MARS

Active
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Individual

KATHERINE O ST. MARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1192012
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487810776
VA
01
192946
BCBS PHYSICAL THERAPY
VA
01
9408173
AETNA
VA
01
P00637367
RAILROAD MEDICARE
VA
Enumeration date
08/06/2008
Last updated
12/08/2014
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