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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK DEJONG, PT

Active Sole Proprietor

MR. MARK DEJONG, PT is a Physical Therapy Assistant healthcare provider located in MANTECA, California. NPI 1043335607 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MANTECA, CA

Registration Details

NPI Number
1043335607
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2007 (19.221229787571 yrs)
Last Updated
Jun 2, 2020
License
PT33493 (CA)
Sole Proprietor
Yes

Practice Information

Address
1041 N MAIN ST STE A
MANTECA, CA, 953363988
Browse CA providers · Browse ZIP 95336
Phone
2098249888
Fax
2098249469
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MANTECA, CA

Name Credential NPI
MR. RALLY RESPIANDOR RUTAQUIO 1295719854
MS. MARITESS GALUEZ DE JESUS PT 1801870464
BYRON KERMIT LEAR 1871518274
HALSEY CORBETT P.T. 1639197825
MICHAEL ARTHUR LUCAS P.T. 1205919222
JOEL TOKHEIM P.T. 1891878815
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.