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MRS. MARY BETH ETHERTON PTA

Physicians Physical Medicine & Rehabilitation Neuromuscular Medicine

Provider NPI: 1902393788

Provider Information:
MRS. MARY BETH ETHERTON PTA
Gender: F
Not Sole Proprietor

Practice Location:
1111 SPRING ST STE 310  SILVER SPRING, MD 20910-4003 US
Tel: 301-588-3929  Fax: --

Business Mailing Address:
1111 SPRING ST STE 310  SILVER SPRING, MD 20910-4003 US
Tel: 301-588-3929  Fax: 301-588-3929

NPI Information:
NPI: 1902393788
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2081N0008XPhysicians
Physical Medicine & Rehabilitation
Neuromuscular Medicine
MDA2700

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2081N0008X

Type:

Classification:



Definition:



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