Individual
DYLAN THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4948 PENNELL RD, ASTON, PA 19014-1867
(610) 494-8730
Mailing address
655 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 18411-8740
(570) 842-9323
(570) 842-9362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24880
MD
225100000X
Physical Therapist
J1-0003395
DE
225100000X
Physical Therapist
Primary
PT026972
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
475187Y0X
MEDICARE
DE
Enumeration date
02/07/2014
Last updated
08/10/2020
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