# MR. MARK A TOROK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467555912
- **Gender:** Man
- **Credential:** MS, PT, MBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT01978 | RI | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 09/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 088680109 | TRICARE(CHAMPUS) | RI |
| 01 | — | 29992-5 | BLUE CROSS OF RI | RI |
| 01 | — | 413036 | BLUE CHIP | RI |
| 01 | — | 5651536 | FIRST HEALTH | RI |
| 01 | — | 7317768 | AETNA | RI |
| 01 | — | 9405168 | PHCS | RI |