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Individual
MARK SCARLATO
Active
Individual
MARK SCARLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650D113380
BC BSM
MI
Enumeration date
05/23/2006
Last updated
11/19/2008
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