Individual
MARY OPENLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00923
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115373
BLUE CROSS AND BLUE SHIEL
MO
01
—
5769225
AETNA
MO
01
—
64-01386
UNITED HEALTHCARE
MO
Enumeration date
08/29/2007
Last updated
08/29/2007
Update your record
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