MR. Mark Mydan, OTR/L
NPI #1104292499 in Bellingham, Washington
Provider Information
- NPI Number
- 1104292499
- Entity Type
- Individual
- Name
- MR. Mark Mydan, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- OTR/L
- Enumeration Date
- Aug 20, 2015
- Last Updated
- Aug 20, 2015
Practice Location
- Address
- 544 MIDWOOD CT
- City
- Bellingham
- State
- Washington
- ZIP Code
- 98229-7102
- Phone
- (360) 595-8427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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