Individual
MARK LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(619) 495-8383
Mailing address
1010 E 10TH ST, TUCSON, AZ 85719-5813
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7216
AZ
Other
Enumeration date
11/04/2017
Last updated
11/04/2017
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