MARK PROBASCO

FOND DU LAC, WI
NPI1356709190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  15209)
Enumeration Date2016-02-08
Last Update Date2024-12-06
Business Address
MARK PROBASCO DPT
727 W JOHNSON ST
FOND DU LAC, WI 54935-2015
Phone number: 920-581-0111
Mailing Address
MARK PROBASCO DPT
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 60515-1211
Phone number: 866-370-8206