Individual
MARY CUMMINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6641 E BAYWOOD AVE, #A-4, MESA, AZ 85206-1723
(480) 396-9020
Mailing address
5415 E MCKELLIPS RD, #78, MESA, AZ 85215-2653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5982
AZ
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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