Individual
MRS. JESSICA LYNN MAHER
Active
Individual
MRS. JESSICA LYNN MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSPT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
20049
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KB
BLUE CROSS BLUE SHIELD
MD
01
—
51490001
BLUE CHOICE
MD
01
—
704159
UNITED HEALTH CARE
MD
01
—
7581819
AETNA
MD
Enumeration date
03/23/2007
Last updated
07/08/2007
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