Individual
MARY P WALDNER
Active
Individual
MARY P WALDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1003
AL
261QP2000X
Physical Therapy Clinic/Center
Primary
PTH1003
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
01/14/2014
Last updated
05/14/2026
Update your record
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