Retzlaff, Mark Anthony

Retzlaff, Mark Anthony is an individual health care provider with primary practice located at 300 Grant Ave , Lake Katrine NY 12449-5340. 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. Retzlaff, Mark Anthony can be contacted via phone (845) 336-3500.

Contact Information

Primary practice address
300 Grant Ave Lake Katrine NY 12449-5340
Phone: (845) 336-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 001145 New York

Profile Details

NPI number 1841937505
LBN Legal business name Retzlaff, Mark Anthony
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2022
Last updated May 15th, 2022 - about 3 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.

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