Doctor Name: | MR. MARK JOSEPH WALIGORA |
NPI Number: | 1346272903 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. M.H.S. C.S.C.S. |
License Number: | 2070 |
Business Practice Address: | 451 Ruin Creek Rd Suite 104 Henderson, NC - 275362878 |
Business Phone Number: | 2524922504 |
Business Fax Number: | 2524922504 |
Mailing Address: | 451 Ruin Creek Rd, Suite 104 HENDERSON |
State: | NC |
Postal Code: | 275362878 |
Phone Number: | 2524922504 |
Fax Number: | 2524922504 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2070 |
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 |