# MARY CHILDRESS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033580980
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 000025951 | MA | — |
| 225100000X | Physical Therapist | 019570 | OH | — |
| 225100000X | Physical Therapist | 030109 | PA | — |
| 225100000X | Physical Therapist | 040-0134309 | VT | — |
| 225100000X | Physical Therapist | 048155 | NY | — |
| 225100000X | Physical Therapist | 05014416A | IN | — |
| 225100000X | Physical Therapist | 37906 | FL | — |
| 225100000X | Physical Therapist | 7971 | SC | Yes |
| 225100000X | Physical Therapist | PTH10588 | AL | — |
| 225100000X | Physical Therapist | — | NULL | — |

## Other

- **Enumeration date:** 10/16/2015
- **Last updated:** 06/20/2024