Individual
MR. MARK EDWARD PICARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 WASON AVE, SPRINGFIELD, MA 01107-1140
(774) 317-6200
Mailing address
101 WASON AVE, SPRINGFIELD, MA 01107-1140
(774) 317-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15313
MA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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