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Individual

DR. MARK THOMAS WALSH

Active
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Individual

DR. MARK THOMAS WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, MS

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00473900
NJ
225100000X
Physical Therapist
PT000539E
PA
2251H1200X
Hand Physical Therapist
40QA00473900
NJ

Other

Enumeration date
07/28/2005
Last updated
01/20/2021
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