Individual
MARK MIKHAEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5 N MEADOWS RD, MEDFIELD, MA 02052-2317
(508) 359-9119
Mailing address
110 CEDAR ST STE 100, WELLESLEY, MA 02481-3527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27751
MA
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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