Individual
MARK TERRY REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11277 VERNON PL, MEADVILLE, PA 16335-3717
(814) 333-5214
Mailing address
11277 VERNON PL, MEADVILLE, PA 16335-3717
(814) 333-5214
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TEI001663
PA
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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