Individual provider · Type 1 NPI

Mark Daitol, PT, DPT, SCS, CSCS

Physical Therapist · Fort Bragg, NC

NPI number 1619410396 Active

Practice location

2817 Rock Merritt Ave, Womack Army Medical Center
Fort Bragg, NC 28310-0001

Fax (910) 907-6069

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X40QA01706300 (NJ)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1619410396

Mark Daitol, PT, DPT, SCS, CSCS's National Provider Identifier is 1619410396, issued on Nov 29, 2016. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Fort Bragg, NC. The record was last updated on Oct 30, 2025.