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Mr. Mark Steven Purcell, PT
Specialist in Longview, Washington
NPI 1952380222

Mark Steven Purcell is a Specialist based in Longview, WA. Mark Steven Purcell practices in Longview, WA and has the professional credentials of PT. The NPI Number for Mark Steven Purcell is 1952380222 and holds a License No. PT00002437 (Washington).

The current practice location address for Mark Steven Purcell is 1118 14Th Ave, Longview, WA and can be reached out via phone at 360-636-4360 and via fax at 360-425-5250.

Location: 1118 14Th Ave, Longview, WA, 98632-3017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952380222
Provider Name
Mark Steven Purcell
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1118 14Th Ave, Longview, WA, 98632-3017
Phone Number
360-636-4360
Fax Number
360-425-5250
Provider Enumeration Date
01/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6500 24408 01 WA RAILROAD MEDICARE NUMBER
0103-981 01 WA DEPARTMENT OF L & I NO.
182420 01 WA OMAP PROVIDER NUMBER
8413445 05 WA
PU0807 01 WA REGENCE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1118 14Th Ave
City
Longview
State
Washington
Zip
98632-3017
Phone Number
360-636-4360
Fax Number
360-425-5250
person
Provider Business Mailing Address Details
Address
1118 14Th Ave
City
Longview
State
Washington
Zip
98632-3017
Phone Number
360-636-4360
Fax Number
360-425-5250
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT00002437 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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