Provider Demographics
NPI:1467555912
Name:TOROK, MARK A (MS, PT, MBA)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:A
Last Name:TOROK
Suffix:
Gender:M
Credentials:MS, PT, MBA
Other - Prefix:
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Mailing Address - Street 1:44 SANDY BOTTOM SHORES DR
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-2333
Mailing Address - Country:US
Mailing Address - Phone:401-714-4627
Mailing Address - Fax:401-714-4627
Practice Address - Street 1:46 HOLLEY ST
Practice Address - Street 2:STE 3
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3326
Practice Address - Country:US
Practice Address - Phone:401-714-4627
Practice Address - Fax:401-714-4627
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIPT01978225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI088680109OtherTRICARE(CHAMPUS)
RI5651536OtherFIRST HEALTH
RI7317768OtherAETNA
RI29992-5OtherBLUE CROSS OF RI
RI9405168OtherPHCS
RI413036OtherBLUE CHIP
RI9405168OtherPHCS
RI9405168OtherPHCS