| Doctor Name: | MARK MCCOY |
| NPI Number: | 1366541740 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT11110 |
| Business Practice Address: | 1550 Harbor Blvd Ste 120 West Sacramento, CA - 956913826 |
| Business Phone Number: | 9163751667 |
| Business Fax Number: | 1916375161 |
| Mailing Address: | 5207 J St, SACRAMENTO |
| State: | CA |
| Postal Code: | 958193941 |
| Phone Number: | 9162778269 |
| Fax Number: | 9162778268 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 03/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT11110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |