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Individual
MARY ANN GIMBEL
Active
Individual
MARY ANN GIMBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CHT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003911L
PA
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01401402
CAPITAL BLUE CROSS
—
01
—
11227707
CAQH
—
01
—
202758
HEALTH ASSURANCE
—
01
—
2106685
AETNA HMO
—
01
—
22957
KEYSTONE
—
01
—
5051573
AETNA PPO
—
01
—
64762000
INDEPENDENCE BLUE CROSS
—
01
—
800156
FIRST PRIORITY
—
Enumeration date
09/29/2005
Last updated
07/19/2007
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