Mark Bardet
Physical Therapist in Roseville, CA. Individual provider (NPI-1).
NPI number1255404158
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255404158
- Entity type
- Individual (NPI-1)
- Name
- Mark Bardet
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | pt11564 | CA | Yes |
Practice location
1600 Eureka RdRoseville, CA 95661-3027
Phone 916-784-5739
Mailing address
1600 Eureka RdRoseville, CA 95661-3027
Phone 916-784-5739
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