Individual
DR. MARK TWELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
10000 W 75TH ST, SUITE 250, MERRIAM, KS 66204-2209
(913) 894-1910
Mailing address
4811 W 108TH TER, APT. 827, OVERLAND PARK, KS 66211-1264
(314) 324-7313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04283
KS
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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