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Individual
MISS MARY ANTONETTE NORRIS
Active
Individual
MISS MARY ANTONETTE NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17133
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161781
—
MD
01
—
103740600
DEPARTMENT OF LABOR
DC
01
—
2429769
AETNA HMO,QPOS
—
01
—
499862
NCPPO
—
01
—
5157476
AETNA
—
01
—
545052-07
BLUECROSS/BLUESHIELD
MD
01
—
G526-001
BLUECROSS/BLUESHIELD
DC
01
—
G526-001
BLUECHOICE
—
Enumeration date
08/18/2006
Last updated
03/04/2013
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