| Doctor Name: | MS. MARY LOUISE CLEVELAND |
| NPI Number: | 1083871719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 8022 |
| Business Practice Address: | 12607 Se Mill Plain Blvd Physical Therapy Department Vancouver, WA - 986846055 |
| Business Phone Number: | 3609442807 |
| Business Fax Number: | 3608916297 |
| Mailing Address: | 12607 Se Mill Plain Blvd, Physical Therapy VANCOUVER |
| State: | WA |
| Postal Code: | 986944098 |
| Phone Number: | 3609442807 |
| Fax Number: | 3608916297 |
| NPI Enumeration Date: | 05/20/2008 |
| NPI Last Update Date: | 05/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 8022 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |