Mark Laurence R Retiro, RPT

NPI #1326333949 in Wyncote, Pennsylvania

Provider Information

NPI Number: 1326333949
Entity Type: Individual
Name: Mark Laurence R Retiro, RPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: Jun 11, 2011
Last Updated: Jun 11, 2011

Practice Location

Address: 8460 LIMEKILN PIKE
City: Wyncote
State: Pennsylvania
ZIP Code: 19095-2601
Phone: (917) 371-4450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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