NPI 1548644891

Mark Gerard Duyck, PTA

Practitioner Physical Therapy Assistant Lake Oswego, OR

Practice location

Address: 17360 Holy Names Dr, Lake Oswego, OR 97034-5133
Phone: (503) 675-2449

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 8100 (OR)

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1548644891
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2015
Record last updated: 16 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.