Individual
BARBARA MARVEL
Active
Individual
BARBARA MARVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002558
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10059788
AMERIGROUP
GA
01
—
317684
WELLCARE
GA
01
—
52448988003
BLUE CROSS/BLUE SHIELD
GA
Enumeration date
11/14/2006
Last updated
12/04/2007
Update your record
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