MR. Mark W Wisenor, P.T.

NPI #1093976326 in Caldwell, Idaho

Provider Information

NPI Number
1093976326
Entity Type
Individual
Name
MR. Mark W Wisenor, P.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
Jun 19, 2008
Last Updated
Jun 19, 2008

Practice Location

Address
3720 S INDIANA AVE
State
Idaho
ZIP Code
83605-6457
Phone
(208) 459-6041

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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