Individual
MR. BRIAN THOMAS DIKSA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004-1108
(610) 668-0904
(610) 668-0668
Mailing address
1000 CONESTOGA RD, APT #B229, BRYN MAWR, PA 19010-1551
(302) 690-9243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018003
PA
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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