Individual
MARK D. RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
101 LEADER DR, WILLIAMSPORT, PA 17701-1942
(570) 323-3758
(570) 322-2379
Mailing address
500 AVENUE D, DANVILLE, PA 17821-7631
(570) 275-5950
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000937L
PA
Other
Enumeration date
03/19/2007
Last updated
10/07/2008
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