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Individual

MRS. MARY ANN PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

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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