Individual
ALLISON MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9475 ROOSEVELT BLVD # B4, PHILADELPHIA, PA 19114-2212
(215) 464-6200
(215) 464-9834
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT030958
PA
225100000X
Physical Therapist
—
PA
2251X0800X
Orthopedic Physical Therapist
40QA02091200
NJ
Other
Enumeration date
06/03/2022
Last updated
04/25/2024
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