Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK ANDREW TIEDEMAN, PHYSICAL THERAPIST
Active Sole ProprietorMR. MARK ANDREW TIEDEMAN, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in AGOURA HILLS, California. NPI 1730478066 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · AGOURA HILLS, CA
Registration Details
- NPI Number
- 1730478066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2011 (15.313905550731 yrs)
- Last Updated
- Apr 7, 2011
- License
-
PT27038 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5927 KANAN RDAGOURA HILLS, CA, 913011688Browse CA providers · Browse ZIP 91301
- Phone
- 8188890158
- Fax
- 8188894708
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in AGOURA HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| NICOLAS BARTON | MPT | 1740235985 |
| MRS. KRISTINA MILLER | PT | 1689772154 |
| MRS. MICHELE ALDEN ZEOLLA | PHYSICAL THERAPIST | 1114053519 |
| MRS. ANNE HINRICHS MALSIN | P.T. | 1417077397 |
| KATHLEEN DEISINGER | MPT | 1740414101 |
| DR. STEVEN F BOWEN | — | 1649585688 |
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.