| NPI | 1104851112 |
|---|---|
| Former Name | MARY DUFFY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 2727) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 001558) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |