Individual
MARK C BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT ASSISTANT
Contact information
Practice address
5026 COTTRELL RD, VASSAR, MI 48768-9424
(509) 592-3121
Mailing address
5026 COTTRELL RD, VASSAR, MI 48768-9424
(509) 592-3121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2215
ID
225200000X
Physical Therapy Assistant
2334
AR
225200000X
Physical Therapy Assistant
2724
MA
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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