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Individual

MISS MARY ANTONETTE NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17133
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0161781
MD
01
103740600
DEPARTMENT OF LABOR
DC
01
2429769
AETNA HMO,QPOS
01
499862
NCPPO
01
5157476
AETNA
01
545052-07
BLUECROSS/BLUESHIELD
MD
01
G526-001
BLUECROSS/BLUESHIELD
DC
01
G526-001
BLUECHOICE
Enumeration date
08/18/2006
Last updated
03/04/2013
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