Mark Powicki, PT

NPI #1174513980 in Randolph, Massachusetts

Provider Information

NPI Number: 1174513980
Entity Type: Individual
Name: Mark Powicki, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 24, 2005
Last Updated: Dec 6, 2022

Practice Location

Address: 63 S MAIN ST
City: Randolph
State: Massachusetts
ZIP Code: 02368-4862
Phone: (781) 961-4460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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