| NPI | 1922115674 |
|---|---|
| Former Name | MARY A SCHWARTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 6330-024) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 393-039) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2024-08-07 |