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MARK TIEDEMAN, PHYSICAL THERAPIST
PHYSICAL THERAPIST
NPI: 1730478066IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
PT27038(CA)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2001
Contact & Hours
- Address
- 5927 KANAN RD
AGOURA HILLS, CA 91301 - Phone
- (818) 889-0158
Quick Facts
- NPI
- 1730478066
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 25
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