Individual
MARK A. HOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
5804 MASON DIXON HWY, BLACKSVILLE, WV 26521-9998
(304) 879-5000
(304) 879-5007
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
(304) 285-3738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002047
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012948
—
WV
Enumeration date
08/19/2008
Last updated
10/25/2013
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