Individual
DYLAN THORNE
Active
Individual
DYLAN THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
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
Update your record
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