Individual
BRIAN F MARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
612B MCCARTHY BLVD, NEW BERN, NC 28562-5231
(252) 635-1788
(252) 635-3053
Mailing address
612B MCCARTHY BLVD, NEW BERN, NC 28562-5231
(252) 635-1788
(252) 635-3053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8398
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128A9
BCBS
NC
05
—
7211374
—
NC
Enumeration date
02/02/2006
Last updated
02/18/2019
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