Warren, Mark

Warren, Mark is an sole proprietor health care provider with primary practice located at 543 Calistoga Rd , Santa Rosa CA 95409-3708. 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. Warren, Mark can be contacted via phone (707) 479-4680.

Contact Information

Primary practice address
543 Calistoga Rd Santa Rosa CA 95409-3708
Phone: (707) 479-4680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 4231 California

Profile Details

NPI number 1649910613
LBN Legal business name Warren, Mark
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2022
Last updated Mar 29th, 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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