Mark B Bengtson, MPT Valid NPI

Individual provider · Physical Therapist · Post Falls, ID

NPI

1881778413

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

RPT-1703 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-24

Last updated

2007-09-11