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Individual
MR. MARK A MOTTILLO
Active
Individual
MR. MARK A MOTTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007800L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001689240005
—
PA
01
—
5622458
FIRST HEALTH
PA
01
—
85873
HIGHMARK
PA
01
—
V0843B
UPMC
PA
Enumeration date
08/09/2005
Last updated
09/15/2023
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