Individual
MR. MARK GERARD BLEECHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
336 S WEST END AVE, LANCASTER, PA 17603-5043
(717) 393-0419
Mailing address
1613 RIDGEVIEW AVE, LANCASTER, PA 17603-4511
(717) 299-5905
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE-000008L
PA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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