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Individual
MARY LYNNE BISONE
Active
Individual
MARY LYNNE BISONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
PT32625
FL
225100000X
Physical Therapist
Primary
PT32625
FL
2251P0200X
Pediatric Physical Therapist
08351-1
NY
252Y00000X
Early Intervention Provider Agency
PT32625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021882200
—
FL
05
—
022608000
—
FL
01
—
1982739819
PROVIDER NUMBER
NY
Enumeration date
07/22/2008
Last updated
10/02/2018
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