Individual
MR. MARK PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
50232 HAVEN DR, HENNING, MN 56551-9325
(218) 639-5356
Mailing address
50232 HAVEN DR, HENNING, MN 56551-9325
(218) 639-5356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
07/18/2007
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