Individual
MR. MARK WILLIAM HORNYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-5407
(203) 679-6142
Mailing address
45 PENT RD, BRANFORD, CT 06405-4005
(203) 488-0292
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000259
CT
Other
Enumeration date
06/20/2007
Last updated
09/25/2008
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