Mallory Mark
Physical Therapist in Atlanta, GA. Individual provider (NPI-1).
NPI number1710426416
StatusActive
Last updated in NPPESDec 19, 2019
Details
- NPI
- 1710426416
- Entity type
- Individual (NPI-1)
- Name
- Mallory Mark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2017
- Certification date
- Dec 19, 2019
- Last updated
- Dec 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT013849 | GA | Yes |
| 225100000X | Physical Therapist | PT025803 | PA |
Practice location
8010 Roswell Rd Ste 120Atlanta, GA 30350-7013
Phone 770-360-9271
Mailing address
625 Walnut StMcKeesport, PA 15132-2806
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