Mr. Mark Documento, RPT
Mr. Mark Documento, RPT is a Physical Therapist in Port Saint Lucie, Florida. Licensed in Florida. Registered with an NPI since 2008.
- Licensed in
- FL
- In the registry since
- 2008
Practice location Address checks out
266 NW Peacock Blvd Ste 2-204 Bldg 2Port Saint Lucie, FL 34986-2271
Phone: (772) 408-6630
Fax: (772) 408-6750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT20821 (FL) |
|---|
Record details
| NPI number | 1316104292 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RPT |
| Sole proprietor | No |
| NPI enumerated | May 19, 2008 |
| Last updated in NPPES | April 9, 2009 |
| Mailing address | Po Box 7666, Port Saint Lucie, FL 34985-7666 |
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