Active NPIIndividual provider

Mary L D'Avino, PT

Physical Therapist in Mount Laurel, New Jersey

NPI Number1336161199
Practice location
4000 Church RD, Mount Laurel, NJ 08054-1110
Fax
—
Last updated
July 8, 2007

Mary Louise D'Avino is a Physical Therapist based in Mount Laurel, NJ. Mary Louise D'Avino practices in Mount Laurel, NJ and has the professional credentials of PT. The NPI Number for Mary Louise D'Avino is 1336161199 and holds a License No. 40QA00186500 (NJ). The current practice location address for Mary Louise D'Avino is 4000 Church RD, Mount Laurel, NJ 08054-1110 and can be reached out via phone at 856-222-4444.

Provider Profile Details

NPI Number
1336161199
Provider Name
Mary Louise D'Avino
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
4000 Church RD, Mount Laurel, NJ 08054-1110
Phone Number
856-222-4444
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4000 Church RD
Mount Laurel, NJ 08054-1110
Zip
08054-1110
Phone Number
856-222-4444
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
4000 Church RD
Mount Laurel, NJ 08054-1110
City
Mount Laurel
State
NJ
Zip
08054-1110
Phone Number
856-222-4444

License Information

License Number
40QA00186500
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary L D'Avino, PT?

The NPI number of Mary L D'Avino, PT is 1336161199. It was assigned on July 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary L D'Avino, PT?

Mary L D'Avino, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00186500.

Where does Mary L D'Avino, PT practice?

The practice location is 4000 Church RD, Mount Laurel, NJ 08054-1110. The office can be reached at 856-222-4444 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336161199 directly on the NPPES registry website.

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