MARK WILSON SCOVILLE

SHORELINE, WA
NPI1114360096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P1 60033338)
Enumeration Date2013-04-10
Last Update Date2013-04-10
Business Address
Mr. MARK WILSON SCOVILLE
1800 NE 199TH ST
SHORELINE, WA 98155-1254
Phone number: 206-367-4924
Mailing Address
Mr. MARK WILSON SCOVILLE
1800 NE 199TH ST
SHORELINE, WA 98155-1254
Phone number: 206-367-4924
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