MARK THELEN

FORT STEWART, GA
NPI1164414058
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: SC  4300)
Enumeration Date2005-08-17
Last Update Date2011-01-28
Business Address
-- MARK THELEN PT
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6780
Mailing Address
-- MARK THELEN PT
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6780