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Mark A Willis, RPT

Physical Therapist in Gadsden, AL. Individual provider (NPI-1).

NPI number1215965751
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1215965751
Entity type
Individual (NPI-1)
Name
Mr. Mark A Willis
Credential
RPT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPTH3505ALYes

Practice location

1514 Owens St
Gadsden, AL 35904-4938

Phone 256-543-1030 · Fax 256-439-2830

Mailing address

1514 Owens St
Gadsden, AL 35904-4938

Phone 256-543-1030 · Fax 256-439-2830

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