Mark Wilson Scoville Valid NPI

Individual provider · Physical Therapy Assistant · Shoreline, WA

NPI

1114360096

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

P1 60033338 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2013-04-10

Last updated

2013-04-10