Mary Willis

NPI #1417313263 in Piqua, Ohio

Provider Information

NPI Number: 1417313263
Entity Type: Individual
Name: Mary Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 10, 2016
Last Updated: Jan 10, 2016

Practice Location

Address: 10077 INFINITY LN
City: Piqua
State: Ohio
ZIP Code: 45356-7512
Phone: (937) 541-8433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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