Individual
MR. JEFF MORRIS MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
16500 VENTURA BLVD, SUITE 360, ENCINO, CA 91436-2016
(818) 986-1210
Mailing address
16626 LAUREN WAY, ENCINO, CA 91436-4830
(310) 251-2808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT16909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT16909
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
08/06/2009
Last updated
08/06/2009
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