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Individual
MARY E SHEA
Active
Individual
MARY E SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11763-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124068689
—
WI
Enumeration date
09/04/2012
Last updated
09/09/2026
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