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MRS. MARY ELIZABETH DAUBERT

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1770839052

Individual Registrant:
MRS. MARY ELIZABETH DAUBERT 
Gender: F
Sole Proprietor

Location and contact information for practice:
5615 US HIGHWAY 45 N  VIENNA, IL 62995-2002 US
Tel: 609-845-7201  Fax: --

Contact information for business:
5615 US HIGHWAY 45 N  VIENNA, IL 62995-2002 US
Tel: 609-845-7201  Fax: --

Registration Information:
NPI: 1770839052
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
IL160.003001

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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