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Individual
MS. MARY M TOWELL
Active
Individual
MS. MARY M TOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0T0003120
BLUE SHIELD OF CA
CA
01
—
PJ0820
SAN DIEGO INLAND REGIONAL
CA
Enumeration date
06/06/2007
Last updated
07/08/2007
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