Mark Henry Baughman, PT ATC
Physical Therapist in Jacksonville Beach, FL. Individual provider (NPI-1).
NPI number1336296334
StatusActive
Last updated in NPPESMay 5, 2016
Details
- NPI
- 1336296334
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Henry Baughman
- Credential
- PT ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- May 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT21322 | FL | Yes |
Practice location
2370 3rd St SSuite 2
Jacksonville Beach, FL 32250-4023
Phone 904-853-5106 · Fax 904-853-5107
Mailing address
2370 3rd St SSuite 2
Jacksonville Beach, FL 32250-4023
Phone 904-853-5106 · Fax 904-853-5107
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