Individual
MARK A NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
296 RANDALL RD, GENEVA, IL 60134-4203
(630) 933-1500
Mailing address
296 RANDALL RD, GENEVA, IL 60134-4203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007845
IL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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