Individual
MR. MARK MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
590 S SUNDANCE DR, LAKE MARY, FL 32746-6355
(321) 279-2861
Mailing address
590 S SUNDANCE DR, LAKE MARY, FL 32746-6355
(321) 279-2861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26640
FL
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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