MARK TIEDEMAN

ZEOLLA PHYSICAL THERAPY INC

Dr MARK TIEDEMAN is a male medical professional, specializing in Physical Therapy. He graduated in 2001.

Contact

ZEOLLA PHYSICAL THERAPY INC

5927 KANAN RD
AGOURA HILLS
CA
913011688

Tel: 8188890158

MARK TIEDEMAN Information

Npi 1730478066
Pac Id 4082994116
Professional Enrollment Id I20161207002413
Last Name TIEDEMAN
First Name MARK
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ZEOLLA PHYSICAL THERAPY INC
Group Practice Pac Id 8224292776
Number Of Group Practice Members 2
Line 1 Street Address 5927 KANAN RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AGOURA HILLS
State CA
Zip Code 913011688
Phone Number 8188890158
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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