Mark Booher in Virginia Beach - Physical Therapy Assistant

Mark Booher - NPI 1821295361

Mark Booher is a Physical Therapy Assistant in Virginia Beach, Virginia. Mark Booher practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Mark Booher is 1821295361. The last update date is 2007-07-08.

Mark Booher's current location address is 1628 Old Donation Pkwy, Virginia Beach, Virginia. You can contact this provider via phone number 7574963092 and fax number 7574962837. The mailing address for Mark Booher is 1628 Old Donation Pkwy, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Booher
Address 1628 Old Donation Pkwy, Virginia Beach, Virginia
Phone Number 7574963092
Fax Number 7574962837
Sole Proprietor Y
Credentials LPTA

NPI Number Detail

NPI Number 1821295361
Provider Enumeration Date 2007-06-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1628 Old Donation Pkwy
City Virginia Beach
State Virginia (VA)
Post Code 234543062
Phone Number 7574963092
Fax Number 7574962837

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2306000856
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Mark Booher

What is the unique provider identifier assigned to Mark Booher?

The Mark Booher has been issued the NPI (National Provider Identifier) 1821295361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Mark Booher located?

The Mark Booher is located at 1628 Old Donation Pkwy, Virginia Beach, VA 234543062.

What is Mark Booher's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Booher is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.

On what date did the Mark Booher receive its 1821295361 assignment from the Centers for Medicare & Medicaid Services?

The Mark Booher was assigned its 1821295361 by the Centers for Medicare & Medicaid Services on 2007-06-28.

As of what date were the Mark Booher's details last updated?

The information pertaining to the Mark Booher, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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