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Individual

MARY THORSEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
19 W FREDERICK ST, WALKERSVILLE, MD 21793-8230
(301) 845-0045
(301) 845-0045
Mailing address
731 BALTIMORE BLVD, WESTMINSTER, MD 21157-6105
(410) 848-8628
(410) 848-3909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17003
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2118118
AETNA HMO
01
322679
MAMSI PLANS
01
5060511
AETNA NON HMO
01
H481DO-53189902
CAREFIRST BLUECROSS
MD
01
T615-0008
CAREFIRST BLUECHOICE
DC
Enumeration date
07/21/2005
Last updated
07/08/2007
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