Individual
KEVIN MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6500 EASTERN AVE, STE E&F, BALTIMORE, MD 21224-2900
(410) 633-3670
(410) 633-3674
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036727
NY
225100000X
Physical Therapist
Primary
24735
MD
Other
Enumeration date
09/10/2013
Last updated
08/27/2015
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