Individual
MARY MCNEILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-020464
IL
225100000X
Physical Therapist
Primary
12287959-2401
UT
225100000X
Physical Therapist
2305208357
VA
Other
Enumeration date
11/05/2013
Last updated
12/07/2022
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