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Individual

MARCAL DOUGLAS CARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2018 MCINGVALE RD STE 102, HERNANDO, MS 38632-8706
(662) 298-2276
(662) 298-2278
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2423
MS

Other

Enumeration date
10/02/2012
Last updated
10/18/2022
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