Mark Tavera, PTA
NPI #1255823894 in Burbank, California
Provider Information
- NPI Number
- 1255823894
- Entity Type
- Individual
- Name
- Mark Tavera, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 30, 2018
- Last Updated
- May 30, 2018
Practice Location
- Address
- 101 S 1ST ST STE 1800
- City
- Burbank
- State
- California
- ZIP Code
- 91502-1959
- Phone
- (818) 558-7252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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