Most Relevant Information
Provider Data
| NPI Number: | 1003418591 |
| Provider Name: | MARK JOAO DPT, CSCS |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 046333 |
Most Important Dates
| Enumeration Date: | 11/10/2020 |
| Last Updated: | 11/10/2020 |
Provider Practice Location
301 MANCHESTER RD STE 101
POUGHKEEPSIE
NY
126032587
Practice Location Phone/Fax
| Phone: | 8454544137 |
| Fax: |
Provider Mailing Location
301 MANCHESTER RD STE 101
POUGHKEEPSIE
NY
126032587
Provider Mailing Phone/Fax
| Phone: | 8454544137 |
| Fax: |