Individual
MARK LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
970 COLONIAL AVE, YORK, PA 17403-3430
(717) 845-2661
Mailing address
58 N QUEEN ST, DOVER, PA 17315-1214
(717) 841-4313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004998
PA
Other
Enumeration date
01/12/2019
Last updated
01/12/2019
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