Individual
MS. MARY ANN THODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.,MPT
Contact information
Practice address
9364 E RAINTREE DR, SUITE109, SCOTTSDALE, AZ 85260-2200
(480) 661-1124
(480) 661-1125
Mailing address
9364 E RAINTREE DR, STE 109, SCOTTSDALE, AZ 85260-2200
(480) 661-1124
(480) 661-1125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AZ3847
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0463050
BCBS OF AZ
AZ
01
—
100386
PIN
AZ
01
—
2Z1802
HEALTH NET
AZ
Enumeration date
11/28/2006
Last updated
07/08/2007
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