| Doctor Name: | MR. MARK LEONARD ANSBROW |
| NPI Number: | 1184642878 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT OCS |
| License Number: | 9699 |
| Business Practice Address: | 3320 Executive Dr Suite 210 Raleigh, NC - 276097445 |
| Business Phone Number: | 9198723747 |
| Business Fax Number: | 9198723414 |
| Mailing Address: | 118 Hidden Bluff Ln, CARY |
| State: | NC |
| Postal Code: | 275135708 |
| Phone Number: | 9193808037 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 09/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |