Organization
MARK S. PLANTE
Active
Other names
Main Street Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY PLANTE (SECRETARY)
(928) 343-7828
Entity
Organization
Contact information
Practice address
725 E. MAIN STREET, SUITE 6, SOMERTON, AZ 85350
(982) 722-7207
Mailing address
381 S MAIN ST, YUMA, AZ 85364-2340
(928) 343-7828
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2608
AZ
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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