Individual
MARY PATRICE FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1401 MERRITT BLVD STE D, DUNDALK, MD 21222-2140
(443) 530-9750
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002275A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200429730
—
IN
Enumeration date
10/05/2006
Last updated
10/02/2024
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