NPI 1003044124

Mark Overton

Practitioner Rehabilitation Practitioner Los Angeles, CA

Practice location

Address: 3881 S Western Ave, Los Angeles, CA 90062-1105
Phone: (323) 290-4374
Mailing address: 1201 E 7th St Rm Apt216, Los Angeles, CA 90021-1505

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1003044124
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2009
Record last updated: 26 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.