Mary Jane South, MPT

NPI #1508283714 in Glencoe, Illinois

Provider Information

NPI Number: 1508283714
Entity Type: Individual
Name: Mary Jane South, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Mar 25, 2014
Last Updated: Sep 19, 2024

Practice Location

Address: 401 JEFFERSON AVE
City: Glencoe
State: Illinois
ZIP Code: 60022-1825
Phone: (847) 786-3003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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