Individual
MARK D DESCHENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(508) 757-2756
Mailing address
22 SCOTT AVE, NASHUA, NH 03062-2504
(603) 888-1791
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7939
MA
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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