Individual
MR. MARC ANTHONY VASIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5813 MAYFIELD RD, SUITE 202, MAYFIELD HEIGHTS, OH 44124-2932
(440) 229-5822
(440) 448-4902
Mailing address
PO BOX 361098, STRONGSVILLE, OH 44136-0019
(440) 229-5822
(440) 448-4902
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
PT09270
OH
2251X0800X
Orthopedic Physical Therapist
Primary
PT09270
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2303715
—
OH
Enumeration date
10/05/2006
Last updated
08/02/2023
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