Individual
MARK PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
727 W JOHNSON ST, FOND DU LAC, WI 54935-2015
(920) 581-0111
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15209
WI
Other
Enumeration date
02/08/2016
Last updated
12/06/2024
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