Individual
MARK DZIADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
21 ESSEX WAY STE 106, ESSEX JUNCTION, VT 05452-3386
(802) 865-2226
Mailing address
23 WALNUT LN, ESSEX JUNCTION, VT 05452-4373
(786) 897-3119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134583
VT
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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