Individual
MARY CATHLEEN ACADEMIA MADANGUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011126A
IN
225100000X
Physical Therapist
1104481
KS
Other
Enumeration date
06/10/2013
Last updated
01/16/2020
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