National Provider Identifier
Mark William Milleville, PT
Mark William Milleville, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in North Tonawanda, NY and a listed phone number of (716) 695-7848.
Profile Overview
- NPI
- 1972596807
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 25, 2005
- Last Updated
- July 08, 2007
Practice Location
- 3571 Niagara Falls Blvd
- North Tonawanda, NY 14120
Phone: (716) 695-7848
Mailing Address
- 3702 Meadowbrook Acres
- North Tonawanda, NY 14120
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1972596807
- Entity Type
- Individual
- Last Name
- Milleville
- First Name
- Mark
- Middle Name
- William
- Name Prefix
- Mr.
- Credential
- PT
- Mailing Street Address
- 3702 Meadowbrook Acres
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120
- Mailing Country
- US
- Mailing Phone
- (716) 692-4255
- Practice Street Address
- 3571 Niagara Falls Blvd
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120
- Practice Country
- US
- Practice Phone
- (716) 695-7848
- Practice Fax
- (716) 695-0312
- Enumeration Date
- August 25, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 11515444 (NY, Caqh)