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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TORY CUSTIS WIDDOWSON IV

Active

MRS. TORY CUSTIS WIDDOWSON IV is a Physical Therapy Assistant healthcare provider located in CRISFIELD, Maryland. NPI 1003083874 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CRISFIELD, MD

Registration Details

NPI Number
1003083874
Provider Type
Individual
Gender
Female
NPI Issued
May 12, 2008 (18.253463617922 yrs)
Last Updated
May 12, 2008
License
15792 (MD)

Practice Information

Address
201 HALL HIGHWAY
MCCREADY FOUNDATION INC
CRISFIELD, MD, 218171237
Browse MD providers · Browse ZIP 21817
Phone
4109681200
Fax
4109683178
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CRISFIELD, MD

Name Credential NPI
MRS. COLETTE NAIME OUTTEN PT, DPT 1669649430
MRS. MA AMIL PERILLA 1740519784
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.