MR. Mark W Lavrack JR., PTA

NPI #1033801154 in Gaylord, Michigan

Provider Information

NPI Number
1033801154
Entity Type
Individual
Name
MR. Mark W Lavrack JR., PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 25, 2023
Last Updated
May 25, 2023

Practice Location

Address
111 S MICHIGAN AVE APT 101
ZIP Code
49735-2724
Phone
(989) 213-3932

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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