National Provider Identifier
Mark Jospeh Siedlecki, PT, DPT
Mark Jospeh Siedlecki, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lockport, NY and a listed phone number of (716) 433-0070.
Profile Overview
- NPI
- 1124689542
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- June 26, 2019
- Last Updated
- March 13, 2020
Practice Location
- 5848 Snyder Dr
- Lockport, NY 14094-9497
Phone: (716) 433-0070
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1124689542
- Entity Type
- Individual
- Last Name
- Siedlecki
- First Name
- Mark
- Middle Name
- Jospeh
- Name Prefix
- Dr.
- Credential
- PT, DPT
- Mailing Street Address
- 5848 Snyder Dr
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-9497
- Mailing Country
- US
- Mailing Phone
- (716) 433-0070
- Mailing Fax
- (716) 433-1171
- Practice Street Address
- 5848 Snyder Dr
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-9497
- Practice Country
- US
- Practice Phone
- (716) 433-0070
- Enumeration Date
- June 26, 2019
- Last Updated
- March 13, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)