Individual
MR. MARK NILES PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4161 TAMIAMI TRL, SUITE 104, PORT CHARLOTTE, FL 33952-9204
(941) 764-1933
(941) 764-1337
Mailing address
4161 TAMIAMI TRL, SUITE 104, PORT CHARLOTTE, FL 33952-9204
(941) 764-1933
(941) 764-1337
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24009
FL
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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