Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. MARK Z JAMANTOC
Active
Individual
MR. MARK Z JAMANTOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4968
OR
225100000X
Physical Therapist
Primary
PT00010511
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0334543
WA L&I
OR
01
—
0334544
WA L&I
OR
Enumeration date
04/07/2008
Last updated
11/08/2022
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