Mr. Mark Allen Medina, PTA10
Mr. Mark Allen Medina, PTA10 is a Physical Therapy Assistant in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
3471 S Kansas AveMilwaukee, WI 53207-3654
Phone: (414) 486-1307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 0848-19 (WI) |
|---|
Record details
| NPI number | 1023052099 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA10 |
| Sole proprietor | No |
| NPI enumerated | June 16, 2006 |
| Last updated in NPPES | November 6, 2013 |
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