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Individual
MARY K BENEDICT
Active
Individual
MARY K BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006521L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096664YGB
MEDICARE - PA
PA
01
—
1760618
HIGHMARK
—
Enumeration date
04/19/2006
Last updated
01/11/2018
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