MR. Mark Niles, PT

NPI #1093707713 in Davie, Florida

Provider Information

NPI Number: 1093707713
Entity Type: Individual
Name: MR. Mark Niles, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 18, 2005
Last Updated: Feb 5, 2008

Practice Location

Address: 2180 SW 115TH TER
City: Davie
State: Florida
ZIP Code: 33325-4854
Phone: (954) 816-1029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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