Individual
MARK KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3311 31ST TER, VAN BUREN, AR 72956-9403
(479) 414-1623
Mailing address
3311 31ST TER, VAN BUREN, AR 72956-9403
(479) 414-1623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1019
AR
Other
Enumeration date
05/28/2008
Last updated
01/28/2015
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