Provider Demographics
NPI:1871765339
Name:RAMBO, MARY FRANCES (PT)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:FRANCES
Last Name:RAMBO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:193 W BEAU STREET
Mailing Address - Street 2:JEFFERSON COURT PLAZA
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301
Mailing Address - Country:US
Mailing Address - Phone:724-222-8322
Mailing Address - Fax:724-222-8940
Practice Address - Street 1:193 W BEAU STREET
Practice Address - Street 2:JEFFERSON COURT PLAZA
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301
Practice Address - Country:US
Practice Address - Phone:724-222-8322
Practice Address - Fax:724-222-8940
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002036L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist