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Mark Willemen, PT

Physical Therapist in Vero Beach, FL. Individual provider (NPI-1).

NPI number1265628366
StatusActive
Last updated in NPPESSep 21, 2007

Details

NPI
1265628366
Entity type
Individual (NPI-1)
Name
Mr. Mark Willemen
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 21, 2007
Last updated
Sep 21, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT 21015FLYes

Practice location

495 22nd Pl
Vero Beach, FL 32960-6002

Phone 772-567-8585 · Fax 772-299-7868

Mailing address

1440 51st Ct
Vero Beach, FL 32966-2340

Phone 772-643-5993

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