Individual
MARK DOUGLAS MCENTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6499 MASON-MONTGOMERY ROAD, SUITE D, MASON, OH 45040
(513) 336-7642
Mailing address
8182 AUTUMN PLACE, MASON, OH 45040
(513) 754-0390
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
006893
OH
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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