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Individual

MARK EDWARD DUCKWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
7701 E OSBORN RD APT 129W, SCOTTSDALE, AZ 85251-7433
(480) 955-7297
Mailing address
7701 E OSBORN RD APT 129W, SCOTTSDALE, AZ 85251-7433
(480) 955-7297

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
000181
AZ
225200000X
Physical Therapy Assistant
Primary
PTA-000181
AZ

Other

Enumeration date
02/26/2024
Last updated
02/26/2024
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