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Mark Tiedeman, PHYSICAL THERAPIST
NPI 1730478066 · on the registry since 2011 · sole proprietor
Practice
- Address
- 5927 Kanan Rd
Agoura Hills, CA 91301 - Phone
- (818) 889-0158
- Fax
- (818) 889-4708
- Organisation at this address
- Zeolla Physical Therapy Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California