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Contact Information

KATIE IM, PT, DPT
2050 OAK TREE RD
EDISON, NJ08820-2012
 Phone: 732-548-7610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KATIE IM · (Female)

NPI # 1871561753
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 03/08/2006
Last updated 02/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 40QA01305900
  • NY License # NY027489
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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