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Individual

MARIAN EILEEN LEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5245 E UNION JACK DR, WASILLA, AK 99654-6731
(907) 841-9771
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 362-8684

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PHYP662
AK
225100000X
Physical Therapist
Primary
PT012587
GA

Other

Enumeration date
12/24/2016
Last updated
06/07/2017
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