Individual
MRS. JEANNE MARONEY
Active
Individual
MRS. JEANNE MARONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005473
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196835
ANTHEM
VA
01
—
285489
MAMSI
VA
01
—
7067339
AETNA
VA
Enumeration date
06/06/2007
Last updated
07/08/2007
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