Individual
MARK NOETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6152 VERDE TRL N, BOCA RATON, FL 33433-2430
(561) 852-4173
(561) 852-4956
Mailing address
6152 VERDE TRL N, BOCA RATON, FL 33433-2430
(561) 852-4173
(561) 852-4956
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA12746
FL
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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