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Kevin George Mark, PT

Physical Therapist in Dansville, NY. Individual provider (NPI-1).

NPI number1508001900
StatusActive
Last updated in NPPESDec 13, 2008

Details

NPI
1508001900
Entity type
Individual (NPI-1)
Name
Mr. Kevin George Mark
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 13, 2008
Last updated
Dec 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist007508-1NYYes

Practice location

5936 Harter Rd
Dansville, NY 14437-9623

Phone 585-335-8284

Mailing address

5936 Harter Rd
Dansville, NY 14437-9623

Phone 585-335-8284

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