MARK KOLB

PORT ORANGE, FL
NPI1780723510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 20708)
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
-- MARK KOLB PTA
1525 HERBERT ST STE 103
PORT ORANGE, FL 32129-6107
Phone number: 386-756-0424
Mailing Address
-- MARK KOLB PTA
3453 COUNTRY WALK DR
PORT ORANGE, FL 32129-3156
Phone number: 386-299-7427
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