Individual
CYNTHIA MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARSONAGE RD STE 508, EDISON, NJ 08837-2475
(732) 906-1144
Mailing address
26 NICOLE TER, EDISON, NJ 08820-4047
(732) 205-1638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01201700
LICENSE #
NJ
Enumeration date
08/30/2006
Last updated
07/08/2007
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