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Individual

MARY E. MCGAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT, MS, PT, ATC

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501017438
MI
225100000X
Physical Therapist
7067
MN
225100000X
Physical Therapist
Primary
9955-24
WI
2255A2300X
Athletic Trainer
2085
MN
2255A2300X
Athletic Trainer
969-39
WI

Other

Enumeration date
11/01/2011
Last updated
03/21/2018
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