MR. Mark Dejong, PT

NPI #1043335607 in Manteca, California

Provider Information

NPI Number: 1043335607
Entity Type: Individual
Name: MR. Mark Dejong, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 20, 2007
Last Updated: Jun 2, 2020

Practice Location

Address: 1041 N MAIN ST STE A
City: Manteca
State: California
ZIP Code: 95336-3988
Phone: (209) 824-9888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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