Provider Demographics
NPI:1720286974
Name:TOWNE, MARY MARGARET (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:MARGARET
Last Name:TOWNE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MARY MARGARET
Other - Middle Name:VIRGINIA
Other - Last Name:DUFFY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3950 RED BANK RD STE 120
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3429
Mailing Address - Country:US
Mailing Address - Phone:513-246-8840
Mailing Address - Fax:
Practice Address - Street 1:3950 RED BANK RD STE 120
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3429
Practice Address - Country:US
Practice Address - Phone:513-246-8840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011840225100000X
OHPT019873225100000X
COPTL.0011840225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist