Individual
MS. MARY A. BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1515 CHAIN BRIDGE RD STE 104, MC LEAN, VA 22101-4421
(703) 356-7801
(703) 356-7814
Mailing address
PO BOX 2834, WINCHESTER, VA 22604-2034
(540) 667-9137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004550
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J684-0004
BCBS
VA
Enumeration date
11/15/2007
Last updated
01/16/2015
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