Kolb, Mark
Kolb, Mark is an sole proprietor health care provider with primary practice located at 1525 Herbert St Ste 103 , Port Orange FL 32129-6107. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Kolb, Mark can be contacted via phone (386) 756-0424.Contact Information
Primary practice address
1525 Herbert St Ste 103
Port Orange FL 32129-6107
Phone: (386) 756-0424
Fax: (386) 756-0425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA 20708 | Florida |
Profile Details
| NPI number | 1780723510 |
|---|---|
| LBN Legal business name | Kolb, Mark |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780723510 | NPPES |
| Florida | Other | PTA 20708 | PHYSICAL THERAPIST ASSIST |
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