Mark Gombotz

NPI #1922116185 in Old Lyme, Connecticut

Provider Information

NPI Number: 1922116185
Entity Type: Individual
Name: Mark Gombotz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6 DAVIS RD E
City: Old Lyme
State: Connecticut
ZIP Code: 06371-1447
Phone: (860) 434-9155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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