MARK GERARD DUYCK

LAKE OSWEGO, OR
NPI1548644891
Professional NameMARC GERARD DUYCK
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  8100)
Enumeration Date2015-07-16
Last Update Date2015-07-16
Business Address
Mr. MARK GERARD DUYCK PTA
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034-5133
Phone number: 503-675-2449
Mailing Address
Mr. MARK GERARD DUYCK PTA
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034-5133
Phone number: 503-675-2449