Dizon, Mary Audrey

Dizon, Mary Audrey is an sole proprietor health care provider with primary practice located at 1505 Patton Dr , Mahomet IL 61853-8116. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dizon, Mary Audrey can be contacted via phone (217) 586-3749.

Contact Information

Primary practice address
1505 Patton Dr Mahomet IL 61853-8116
Phone: (217) 586-3749
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070015799 Illinois

Profile Details

NPI number 1346540804
LBN Legal business name Dizon, Mary Audrey
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2010
Last updated Oct 29th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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