Westra, Mark Raymond

Westra, Mark Raymond is an sole proprietor health care provider with primary practice located at 1610 John Orr Dr , Tifton GA 31794-3682. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Westra, Mark Raymond can be contacted via phone (229) 391-4580.

Contact Information

Primary practice address
1610 John Orr Dr Tifton GA 31794-3682
Phone: (229) 391-4580
Fax: (229) 391-4585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2118 Georgia

Profile Details

NPI number 1063758597
LBN Legal business name Westra, Mark Raymond
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2013
Last updated Jan 3rd, 2013 - about 12 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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