Individual
MARY RUTH PERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3179
AR
225100000X
Physical Therapist
CP055256T
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179776721
—
AR
05
—
300131692
—
IN
01
—
5V266
BLUE CROSS BLUE SHIELD
AR
01
—
P00848712
RAILROAD MEDICARE
—
Enumeration date
09/14/2009
Last updated
06/23/2026
Update your record
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