Individual
KATHLEEN M MONIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3740
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029400299
TRICARE
MA
05
—
0319350
—
MA
01
—
37063
HARVARD PILGRIM
MA
01
—
411780
TUFTS HEALTH PLAN
MA
01
—
Y666196
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
01/25/2007
Last updated
07/09/2007
Update your record
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