Mark Slaughter PC
NPI #1922129352 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1922129352
- Entity Type
- Organization
- Organization Name
- Mark Slaughter PC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Feb 1, 2008
Practice Location
- Address
- 219 2ND AVE
- Address 2
- SUITE C
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-2556
- Phone
- (618) 656-5433
Authorized Official
- Name
- MARK SLAUGHTER, P. T.
- Title
- PHYSICAL THERAPIST OWNER
- Phone
- (618) 656-5433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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