MR. Mark Anthony Anahaw Entrolezo, PT

NPI #1861733305 in Waco, Texas

Provider Information

NPI Number: 1861733305
Entity Type: Individual
Name: MR. Mark Anthony Anahaw Entrolezo, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 7, 2013
Last Updated: Mar 7, 2013

Practice Location

Address: 3404 WINDSOR AVE
City: Waco
State: Texas
ZIP Code: 76708-3136
Phone: (903) 304-5047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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