Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 02521 | NJ |
Y | 2251P0200X | Physical Therapist - Pediatrics | 02521 | NJ |
N | 2251S0007X | Physical Therapist - Sports | 02521 | NJ |
N | 2251X0800X | Physical Therapist - Orthopedic | 02521 | NJ |
NPI | 1134240450 |
---|---|
Provider Name | Mr. Mark J Barna |
First Address | Morristown, NJ 07960-6227 |
Second Address | Ho Ho Kus, NJ 07423-1564 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 24/10/2007 |