Individual
MARY THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
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
07/13/2026
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