Mark Vincent I Soriano Mendoza, DPT

NPI #1124831714 in Chubbuck, Idaho

Provider Information

NPI Number
1124831714
Entity Type
Individual
Name
Mark Vincent I Soriano Mendoza, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Jan 29, 2025
Last Updated
Jan 29, 2025

Practice Location

Address
763 BOYD ST
State
Idaho
ZIP Code
83202-2941
Phone
(208) 417-9605

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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