Individual
MRS. MARY ELIZABETH DAUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5615 US HIGHWAY 45 N, VIENNA, IL 62995-2002
(609) 845-7201
Mailing address
5615 US HIGHWAY 45 N, VIENNA, IL 62995-2002
(609) 845-7201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003001
IL
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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