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Individual

MAURYA MELLODY CARR

Active
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Individual

MAURYA MELLODY CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011771L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003115168
HIGHMARK BS
PA
01
—
0425475
AETNA HMO
PA
01
—
1225430960
UNITED HEALTH CARE
PA
01
—
5242927
AETNA PPO
PA
01
—
833603
FPH
PA
Enumeration date
09/25/2014
Last updated
02/03/2015
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