Mark Giovagnoli, PTA
NPI #1053605360 in Enfield, New Hampshire
Provider Information
- NPI Number
- 1053605360
- Entity Type
- Individual
- Name
- Mark Giovagnoli, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jun 3, 2011
- Last Updated
- Jun 3, 2011
Practice Location
- Address
- 15 LAKE ST
- City
- Enfield
- State
- New Hampshire
- ZIP Code
- 03748-3587
- Phone
- (603) 632-1273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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