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Individual
MARY JO GIVEN
Active
Individual
MARY JO GIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070001936
IL
225100000X
Physical Therapist
Primary
2305206566
VA
2251G0304X
Geriatric Physical Therapist
070001936
IL
2251G0304X
Geriatric Physical Therapist
2305206566
VA
2251N0400X
Neurology Physical Therapist
070001936
IL
2251N0400X
Neurology Physical Therapist
2305206566
VA
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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