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

MARK ANTHONY RETZLAFF, PTA

Active

MARK ANTHONY RETZLAFF, PTA is a Occupational Therapist healthcare provider located in LAKE KATRINE, New York. NPI 1841937505 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LAKE KATRINE, NY

Registration Details

NPI Number
1841937505
Provider Type
Individual
Gender
Male
NPI Issued
May 15, 2022 (4.2505198565693 yrs)
Last Updated
May 15, 2022
License
001145 (NY)

Practice Information

Address
300 GRANT AVE
LAKE KATRINE, NY, 124495340
Browse NY providers · Browse ZIP 12449
Phone
8453363500
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in LAKE KATRINE, NY

Name Credential NPI
MRS. LORI ANN BERESHEIM PTA 1245451236
MRS. JEAN M KIRTIO PHYSICAL THER. ASST 1518188390
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.