Individual
MARK DANIEL DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 BUCKEYE ST, ROCKFORD, OH 45882-9266
(419) 363-2193
Mailing address
PO BOX 464, DELPHOS, OH 45833-0464
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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