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Individual
MARY JANE M PRESTON
Active
Individual
MARY JANE M PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007948
NY
225100000X
Physical Therapist
4717
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187782
MEDCOST
—
01
—
6400040
UNITED HEALTHCARE
—
01
—
69160
BCBS
NC
01
—
7269160
AETNA
—
05
—
7418809
—
NC
01
—
8300041K
MEDICAID CBRS
—
Enumeration date
04/16/2007
Last updated
06/14/2016
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