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Individual

MR. MARK A READ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPT

Contact information

Practice address
8849 WHITNEY DRIVE, LEWIS CENTER, OH 43035-7107
(740) 549-7041
(740) 549-7045
Mailing address
8849 WHITNEY DRIVE, LEWIS CENTER, OH 43035-7107
(740) 549-7041
(740) 549-7045

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
PT 004253
OH
2251S0007X
Sports Physical Therapist
Primary
PT004253
OH
2251X0800X
Orthopedic Physical Therapist
PT 004253
OH
2251X0800X
Orthopedic Physical Therapist
PT004253
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2284353
OH
Enumeration date
09/26/2005
Last updated
12/03/2012
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