Mark Robert Wilcox, DPT

NPI #1629505359 in Shoreview, Minnesota

Provider Information

NPI Number: 1629505359
Entity Type: Individual
Name: Mark Robert Wilcox, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 12, 2017
Last Updated: Oct 25, 2021

Practice Location

Address: 4570 CHURCHILL ST STE 300
City: Shoreview
State: Minnesota
ZIP Code: 55126-2274
Phone: (651) 481-1071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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