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NPI 1649245887

NPI 1649245887 : MARY EASLEY DROST PT, DPT, CEEAA : VICTORIA, TX

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General NPI Number Information
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    NPI Number           |    1649245887
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    Entity Type          |    Individual 
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    Provider Name        |    MARY EASLEY DROST PT, DPT, CEEAA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/21/2006
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    Last Update Date     |    08/25/2025
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Provider Practice Location Address
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    Address Line         |    1501 E MOCKINGBIRD LN 
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    City                 |    VICTORIA
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    State                |    TX
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    Zip                  |    77904-2155
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    Country              |    US
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    Telephone            |    361-578-3513
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    Fax                  |    361-578-4623
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Provider Business Mailing Address
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    Address Line         |    1501 E. MOCKINGBIRD LN ST. 406 
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    City                 |    VICTORIA
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    State                |    TX
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    Zip                  |    77904-2238
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    Country              |    US
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    Telephone            |    361-578-3513
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    Fax                  |    361-578-4623
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1045961
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    License Number State |    TX
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