Mark Alan Pezzelle in Avondale - Physical Therapy Assistant

Mark Alan Pezzelle - NPI 1871714113

Mark Alan Pezzelle is a Physical Therapy Assistant in Avondale, Arizona. Mark Alan Pezzelle practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Mark Alan Pezzelle is 1871714113. The last update date is 2008-05-16.

Mark Alan Pezzelle's current location address is 13055 W Mcdowell Rd, Avondale, Arizona. You can contact this provider via phone number 6235474787 and fax number 6235474787. The mailing address for Mark Alan Pezzelle is 13055 W Mcdowell Rd, Avondale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Alan Pezzelle
Address 13055 W Mcdowell Rd, Avondale, Arizona
Phone Number 6235474787
Fax Number 6235474787
Sole Proprietor N
Credentials P.T.A.

NPI Number Detail

NPI Number 1871714113
Provider Enumeration Date 2007-05-02
Last Updated Date 2008-05-16

Provider Mailing Address Detail

Address 13055 W Mcdowell Rd
City Avondale
State Arizona (AZ)
Post Code 853926449
Phone Number 6235474787
Fax Number 6235474787

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 0234A
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 Alan Pezzelle

What is the unique provider identifier assigned to Mark Alan Pezzelle?

The Mark Alan Pezzelle has been issued the NPI (National Provider Identifier) 1871714113 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Mark Alan Pezzelle?

The Mark Alan Pezzelle is situated at 13055 W Mcdowell Rd, in the city of Avondale, state of AZ, with the zip code 853926449.

What is Mark Alan Pezzelle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mark Alan Pezzelle is Physical Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 225200000X.

On what date did the Mark Alan Pezzelle receive the assignment of its 1871714113 from the Centers for Medicare & Medicaid Services?

The Mark Alan Pezzelle was issued its 1871714113 by the Centers for Medicare & Medicaid Services on 2007-05-02.

As of what date were the details pertaining to Mark Alan Pezzelle last refreshed?

The information related to the Mark Alan Pezzelle, including its address, specialty, and other relevant details, was last updated on 2008-05-16.

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