Individual
DR. MARK ALLEN FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1311 PALMYRA AVE, RICHMOND, VA 23227-4418
(804) 358-1412
Mailing address
5106 BROMLEY LN, RICHMOND, VA 23226-1535
(804) 363-9903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203459
VA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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