Individual
MARK THOMAS WHITACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 MARTINSBURG RD, MOUNT VERNON, OH 43050-4225
(740) 393-6767
Mailing address
308 MARTINSBURG RD, MOUNT VERNON, OH 43050-4225
(740) 393-6767
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
3462
OH
Other
Enumeration date
09/20/2023
Last updated
09/21/2023
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