Individual
DR. DALLAS NATHANIEL DZIUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
118 TOWNSEDGE DR, QUARRYVILLE, PA 17566-1300
(717) 806-5126
(717) 806-5665
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT028818
PA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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