Individual
MARIBETH B RAMBERG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1000 FIFTH AVE, PICAYUNE, MS 39466-3214
(601) 798-8003
(601) 798-6050
Mailing address
1000 FIFTH AVE, PICAYUNE, MS 39466-3214
(601) 798-8003
(601) 798-6050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0460
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111513
—
MS
01
—
5962700
AETNA PIN NUMBER
—
Enumeration date
08/19/2005
Last updated
07/08/2007
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