Doctor Name: | MARK A MASHBURN |
NPI Number: | 1811062342 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT,OCS |
License Number: | PTH1885 |
Business Practice Address: | 3160 W Main St Suite 1 Dothan, AL - 363051185 |
Business Phone Number: | 3346992348 |
Business Fax Number: | 3346992347 |
Mailing Address: | 3160 W Main St, Suite 1 DOTHAN |
State: | AL |
Postal Code: | 363051185 |
Phone Number: | 3346992348 |
Fax Number: | 3346992347 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH1885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |