Individual
MARK EDWARD KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
120 LAKES AT LITCHFIELD DR, REHAB DEPT, PAWLEYS ISLAND, SC 29585-5502
(843) 235-4071
Mailing address
120 LAKES AT LITCHFIELD DR, REHAB DEPT, PAWLEYS ISLAND, SC 29585-5502
(843) 235-4071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3091
SC
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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