Individual
RANDY W DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,ATC,LAT, LMT, PES
Contact information
Practice address
617C CHESTER PIKE, PROSPECT PARK, PA 19076-1506
(267) 800-8031
Mailing address
917 OLD FERN HILL RD STE 500, WEST CHESTER, PA 19380-4255
(267) 800-8031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003236
PA
225700000X
Massage Therapist
MSG010353
PA
Other
Enumeration date
10/28/2020
Last updated
10/28/2024
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