Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Dejong, PT

Individual provider Physical Therapist · NPI 1043335607

Mr. Mark Dejong, PT is a Physical Therapist in Manteca, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1041 N Main St Ste A
Manteca, CA 95336-3988
Phone: (209) 824-9888
Fax: (209) 824-9469
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT33493 (CA)

Record details

NPI number1043335607
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 20, 2007
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020
Mailing address220 Standiford Ave, Ste F, Modesto, CA 95350-1159

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