Mark Joseph Wheaton, PTA

NPI #1578721577 in Windham, Maine

Provider Information

NPI Number
1578721577
Entity Type
Individual
Name
Mark Joseph Wheaton, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 27, 2008
Last Updated
May 27, 2008

Practice Location

Address
449 RIVER RD APT 5
State
Maine
ZIP Code
04062-4279
Phone
(207) 240-5769

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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