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Individual

MARYCHARLOTTE TURNER BALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014056A
IN
225100000X
Physical Therapist
070024084
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M147140325
MEDICARE
IN
Enumeration date
01/25/2019
Last updated
02/20/2023
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