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Individual
MS. MARY BETH PACE
Active
Individual
MS. MARY BETH PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT DC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1043552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181900502
—
TX
01
—
611881300
OWCP
TX
01
—
8T1420
BCBS
TX
Enumeration date
09/26/2006
Last updated
09/03/2024
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