Provider Demographics
NPI:1497855522
Name:JOBES, MARY PAT CORRIGAN (PT)
Entity Type:Individual
Prefix:
First Name:MARY PAT
Middle Name:CORRIGAN
Last Name:JOBES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 GIAROLI ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-1934
Mailing Address - Country:US
Mailing Address - Phone:901-685-0829
Mailing Address - Fax:
Practice Address - Street 1:977 GIAROLI ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-1934
Practice Address - Country:US
Practice Address - Phone:901-685-0829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT808225100000X, 2251P0200X
MSPT0655225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics