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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK GIOVAGNOLI, PTA

Active Sole Proprietor

MARK GIOVAGNOLI, PTA is a Occupational Therapist healthcare provider located in ENFIELD, New Hampshire. NPI 1053605360 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ENFIELD, NH

Registration Details

NPI Number
1053605360
Provider Type
Individual
Gender
Male
NPI Issued
Jun 3, 2011 (15.168491597292 yrs)
Last Updated
Jun 3, 2011
License
0621 (NH)
Sole Proprietor
Yes

Practice Information

Address
15 LAKE ST
ENFIELD, NH, 037483587
Browse NH providers · Browse ZIP 03748
Phone
6036321273
Primary Specialty
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.