Individual
MS. MARY DEE PING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 483-7320
(765) 483-7325
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 483-7320
(765) 483-7325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05000651A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007714470A
—
IN
Enumeration date
05/15/2007
Last updated
07/08/2007
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