Individual
CYNTHIA ANNE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
605 ROCKMEAD DR, KINGWOOD, TX 77339-2254
(281) 348-9588
Mailing address
605 ROCKMEAD DR, KINGWOOD, TX 77339-2254
(281) 348-9588
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1195890
TX
225100000X
Physical Therapist
PT9541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2765235
—
OH
01
—
P00411838
MEDICARE RAILROAD
OH
Enumeration date
03/27/2007
Last updated
12/02/2024
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