Mark Elliot Wurster in Providence - Physical Therapist

Mark Elliot Wurster - NPI 1003908906

Mark Elliot Wurster is a Physical Therapist in Providence, Rhode Island. Mark Elliot Wurster practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mark Elliot Wurster is 1003908906. The last update date is 2018-06-21.

Mark Elliot Wurster's current location address is 100 Highland Ave, Providence, Rhode Island. You can contact this provider via phone number 4017220012 and fax number 4017220056. The mailing address for Mark Elliot Wurster is 100 Highland Ave, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Elliot Wurster
Address 100 Highland Ave, Providence, Rhode Island
Phone Number 4017220012
Fax Number 4017220056
Sole Proprietor N
Credentials M.S.P.T.

NPI Number Detail

NPI Number 1003908906
Provider Enumeration Date 2006-09-28
Last Updated Date 2018-06-21

Provider Mailing Address Detail

Address 100 Highland Ave
City Providence
State Rhode Island (RI)
Post Code 29062753
Phone Number 4017220012
Fax Number 4017220056

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 822
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0000Y66669 MA BLUE CROSS OF MA
7857-1 RI BLUE CROSS
50504796 RI UNITED HEALTHCARE
402345 RI BLUE CHIP

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FAQs about Mark Elliot Wurster

What is the unique identification code assigned to Mark Elliot Wurster by the Centers for Medicare & Medicaid Services?

The Mark Elliot Wurster has been issued the NPI (National Provider Identifier) 1003908906. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mark Elliot Wurster?

The Mark Elliot Wurster is physically situated at 100 Highland Ave, in the city of Providence, state of RI, with the postal code 29062753.

What is the Mark Elliot Wurster's specialty and taxonomy code?

The Mark Elliot Wurster's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1003908906 to Mark Elliot Wurster?

The Centers for Medicare & Medicaid Services originally issued the 1003908906 to Mark Elliot Wurster on 2006-09-28.

When was the information pertaining to Mark Elliot Wurster most recently updated or revised?

The details related to Mark Elliot Wurster, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-21.

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