Individual
MARILIZ JIMENEZ DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7573 W 121ST AVE, CROWN POINT, IN 46307-8716
(219) 895-4103
Mailing address
7573 W 121ST AVE, CROWN POINT, IN 46307-8716
(219) 895-4103
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05011241A
IN
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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