Individual
MRS. MARY ANN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1076 W CHANDLER BLVD, STE 103, CHANDLER, AZ 85224-5225
(480) 821-1997
(480) 821-1887
Mailing address
1076 W CHANDLER BLVD, STE 103, CHANDLER, AZ 85224-5225
(480) 821-1997
(480) 821-1887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9573
AZ
225100000X
Physical Therapist
13871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9573
AZ STATE LICENSE
AZ
01
—
PT 13871
WAITING FOR NPI NUMBER TO APPLY FOR MEDICARE NUMBER
CA
Enumeration date
04/25/2008
Last updated
11/21/2011
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