Daitol, Mark
Daitol, Mark is an sole proprietor health care provider with primary practice located at 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg NC 28310-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Daitol, Mark can be contacted via phone (910) 907-8922.Contact Information
Primary practice address
2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg NC 28310-0001
Phone: (910) 907-8922
Fax: (910) 907-6069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA01706300 | New Jersey |
Profile Details
| NPI number | 1619410396 |
|---|---|
| LBN Legal business name | Daitol, Mark |
| Credentials | PT, DPT, SCS, CSCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2016 |
| Last updated | Oct 30th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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