Individual
MR. MARK SAMUEL SIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
14622 VENTURA BLVD, SUITE 102/UNIT 550, SHERMAN OAKS, CA 91403-3600
(818) 480-8397
(818) 788-7254
Mailing address
14622 VENTURA BLVD, SUITE 102/UNIT 550, SHERMAN OAKS, CA 91403-3600
(818) 480-8397
(818) 788-7254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT15218
CA
2251G0304X
Geriatric Physical Therapist
Primary
PT15218
CA
2251X0800X
Orthopedic Physical Therapist
PT15218
CA
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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