Mark Dejong is a Physical Therapist in Manteca, California. Mark Dejong practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mark Dejong is 1043335607. The last update date is 2020-06-02.
Mark Dejong's current location address is 1041 N Main St Ste A, Manteca, California. You can contact this provider via phone number 2098249888 and fax number 2098249469. The mailing address for Mark Dejong is 1041 N Main St Ste A, Manteca, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Dejong |
|---|---|
| Address | 1041 N Main St Ste A, Manteca, California |
| Phone Number | 2098249888 |
| Fax Number | 2098249469 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1043335607 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-06-02 |
Provider Mailing Address Detail
| Address | 1041 N Main St Ste A |
|---|---|
| City | Manteca |
| State | California (CA) |
| Post Code | 953363988 |
| Phone Number | 2098249888 |
| Fax Number | 2098249469 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT33493 |
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Definition: 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 per |
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What is the unique 10-digit identification code issued to Mark Dejong by the Centers for Medicare & Medicaid Services?
The Mark Dejong has been assigned the NPI (National Provider Identifier) 1043335607 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Mark Dejong's facilities are situated?
The facilities of Mark Dejong are physically located at the following address: 1041 N Main St Ste A, Manteca, CA, 953363988.
What is Mark Dejong's area of expertise and its corresponding taxonomy classification?
The Mark Dejong's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mark Dejong receive its 1043335607 assignment from the Centers for Medicare & Medicaid Services?
The Mark Dejong was assigned its 1043335607 by the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date were the Mark Dejong's details last updated?
The information pertaining to the Mark Dejong, including its address, specialty, and other details, was most recently updated on 2020-06-02.
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