Doctor Name: | MARK THOMAS MCELROY |
NPI Number: | 1972592624 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. , O.C.S. |
License Number: | PT 19744 |
Business Practice Address: | 18th Medical Group Unit 5142 Apo, AP - 96368 |
Business Phone Number: | 3013965636 |
Business Fax Number: | |
Mailing Address: | Psc 80 Box 13283, Kadena Ab, Okinawa Japan APO |
State: | AP |
Postal Code: | 963670035 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/17/2005 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 19744 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |