Individual
MARY A. F. DAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
10518 SPOTSYLVANIA AVE STE 100, FREDERICKSBURG, VA 22408-2693
(540) 710-5341
(540) 710-5372
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206091
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
06/09/2009
Last updated
08/02/2021
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