MR. Mark Role

NPI #1043647126 in Port Charlotte, Florida

Provider Information

NPI Number: 1043647126
Entity Type: Individual
Name: MR. Mark Role
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 3, 2013
Last Updated: Oct 3, 2013

Practice Location

Address: 18480 COCHRAN BLVD
City: Port Charlotte
State: Florida
ZIP Code: 33948-3379
Phone: (941) 743-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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