MARK A BLANK

FAIRWAY PHYSICAL THERAPY LLC

Dr MARK A BLANK is a male medical professional, specializing in Physical Therapy. He graduated in 2012.

Contact

FAIRWAY PHYSICAL THERAPY LLC

7100 FAIRWAY DR
SUITE 27
PALM BEACH GARDENS
FL
334183782

Tel: 5617757775

MARK A BLANK Information

Npi 1831340264
Pac Id 3173890456
Professional Enrollment Id I20170517002914
Last Name BLANK
First Name MARK
Middle Name A
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FAIRWAY PHYSICAL THERAPY LLC
Group Practice Pac Id 3971563222
Number Of Group Practice Members 3
Line 1 Street Address 7100 FAIRWAY DR
Line 2 Street Address SUITE 27
Marker Of Address Line 2 Suppression
City PALM BEACH GARDENS
State FL
Zip Code 334183782
Phone Number 5617757775
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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