MARK WILLIAM HAVILAND

DENTON, MD
NPI1942379821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MD  15706)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
-- MARK WILLIAM HAVILAND PT
416 N 6TH ST
DENTON, MD 21629-1356
Phone number: 410-822-4613
Mailing Address
-- MARK WILLIAM HAVILAND PT
817 LONG POINT RD
GRASONVILLE, MD 21638-1072
Phone number: 410-822-4613