Individual
MR. MARK ALAN PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
640 CONCORD AVE, CAMBRIDGE, MA 02138-1116
(617) 497-0600
Mailing address
9 ELM LAWN ST, DORCHESTER, MA 02122-1205
(617) 822-8905
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8078
MA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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