MARK DAITOL

BARNEGAT SPORTS REHABILITATION AND PHYSICAL THERAPY LLC

Dr MARK DAITOL is a male medical professional, specializing in Physical Therapy. He graduated in 2016.

Contact

BARNEGAT SPORTS REHABILITATION AND PHYSICAL THERAPY LLC

890 W BAY AVE
SUITE A
BARNEGAT
NJ
080052150

Tel: 6096981073

MARK DAITOL Information

Npi 1619410396
Pac Id 6103108543
Professional Enrollment Id I20170120000429
Last Name DAITOL
First Name MARK
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BARNEGAT SPORTS REHABILITATION AND PHYSICAL THERAPY LLC
Group Practice Pac Id 8628151693
Number Of Group Practice Members 7
Line 1 Street Address 890 W BAY AVE
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City BARNEGAT
State NJ
Zip Code 080052150
Phone Number 6096981073
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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