Mark S. Plante
Clinic/Center, Physical Therapy in Somerton, AZ. Organization (NPI-2).
NPI number1427249804
StatusActive
Last updated in NPPESAug 9, 2007
Details
- NPI
- 1427249804
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark S. Plante
- Organization subpart
- No
- Enumeration date
- Aug 9, 2007
- Last updated
- Aug 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 2608 | AZ | Yes |
Other names
- Main Street Physical Therapy (Doing Business As)
Practice location
725 E. Main StreetSuite 6
Somerton, AZ 85350
Phone 982-722-7207
Mailing address
381 S Main StYuma, AZ 85364-2340
Phone 928-343-7828
Authorized official
Cindy Plante
Secretary
9283437828
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