Individual
MARK VINCENT PATERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, PHD
Contact information
Practice address
3430 BURNET AVE # MLC4007, CINCINNATI, OH 45229-2833
(513) 636-0517
Mailing address
3430 BURNET AVE # MLC4007, CINCINNATI, OH 45229-2833
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6847
OH
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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