Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY AUDREY DIZON, PT
Active Sole ProprietorMARY AUDREY DIZON, PT is a Physical Therapy Assistant healthcare provider located in MAHOMET, Illinois. NPI 1346540804 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MAHOMET, IL
Registration Details
- NPI Number
- 1346540804
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2010 (15.792694837673 yrs)
- Last Updated
- Oct 29, 2010
- License
-
070015799 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1505 PATTON DRMAHOMET, IL, 618538116Browse IL providers · Browse ZIP 61853
- Phone
- 2175863749
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MAHOMET, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. DENISE ANNETTE CRUTCHER | PT | 1124027891 |
| JEFFREY A SCHRODER | PT, MPT | 1952483315 |
| MS. NOELLE E MEYER | DPT | 1598881591 |
| MS. JILL BABEY | DPT | 1215053491 |
| MS. PAMELA A SCOTT | PT | 1093831596 |
| MRS. BETH KLINGBEIL BUCKER | — | 1457563017 |
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.