Mary Elizabeth Daubert

Physical Therapy Assistant · Vienna, IL

Individual Active NPI

NPI number 1770839052

Practice location

5615 Us Highway 45 N
Vienna, IL 62995-2002
Phone
(609) 845-7201

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NPI record

NPI
1770839052
Entity type
Individual (Type 1)
Enumeration date
July 24, 2012
Last updated
July 24, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160.003001 IL

About Mary Daubert

Mary Elizabeth Daubert is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 5615 Us Highway 45 N, Vienna, IL 62995-2002. The NPI number 1770839052 was assigned on July 24, 2012 and the record was last updated on July 24, 2012.

Mary Daubert lists a license in the registry: #160.003001 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Elizabeth Daubert?

The NPI number is 1770839052.

What is the phone number of Mary Daubert?

The phone number listed for the practice location is (609) 845-7201.

Where is Mary Daubert located?

5615 Us Highway 45 N, Vienna, IL 62995-2002.

What is the taxonomy code for Mary Daubert?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.