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NPI Code Detail

MEDICARE: KRISTIN MARKS

MEDICARE:   KRISTIN  MARKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT.014623OH

General Provider Information

NPI Number : 1932519568
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN MARKS
Provider Business Mailing Address
First Line : 23887 LORAIN RD
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-2227
Country : US
Telephone Number : 440-777-1764
Fax Number :
Provider Business Practice Location Address
First Line : 23887 LORAIN RD
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-2227
Country : US
Telephone Number : 440-777-1764
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2014
Last Update Date : 05/05/2014

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Directions to “ KRISTIN MARKS ” Practice Location

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