Individual
MARK S DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12955 OLD MERIDIAN ST STE 101, CARMEL, IN 46032-7100
(317) 819-6600
(317) 819-6601
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
050018551
IN
Other
Enumeration date
06/27/2007
Last updated
04/17/2018
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