Provider Demographics
NPI:1285656736
Name:TROYER, MARK (PT)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:TROYER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 EASTON RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2918
Mailing Address - Country:US
Mailing Address - Phone:215-517-7551
Mailing Address - Fax:215-519-7549
Practice Address - Street 1:1000 EASTON RD
Practice Address - Street 2:SUITE 207
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2918
Practice Address - Country:US
Practice Address - Phone:215-517-7551
Practice Address - Fax:215-519-7549
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-005862-L2251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic