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Individual
MARY Q NELSON
Active
Individual
MARY Q NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009699
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1542NE
REGENCE BLUE SHIELD
WA
01
—
194913
DEPT OF LABOR & INDUSTRY
WA
01
—
7954671
AETNA
WA
05
—
8419178
—
WA
01
—
8904739
CRIME VICTIMS
WA
Enumeration date
11/08/2006
Last updated
04/28/2025
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