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Individual
MARK ALLEN RENTFROW
Active
Individual
MARK ALLEN RENTFROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11116
STATE LICENSE
SC
Enumeration date
02/15/2022
Last updated
04/18/2024
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