MARK LEE DUFAULT

RALEIGH, NC
NPI1891898268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  6231)
Enumeration Date2006-09-07
Last Update Date2017-12-12
Business Address
Mr. MARK LEE DUFAULT PT
3001 EDWARDS MILL RD # 200
RALEIGH, NC 27612-5243
Phone number: 919-863-6872
Mailing Address
Mr. MARK LEE DUFAULT PT
3001 EDWARDS MILL RD # 200
RALEIGH, NC 27612-5243
Phone number: 919-863-6872
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AQUATIC PHYSICAL THERAPY & BEYOND, LLC