Individual
DILLON TERREL BIASELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6932 W MARY JANE LN, PEORIA, AZ 85382-4539
(951) 970-2611
Mailing address
6932 W MARY JANE LN, PEORIA, AZ 85382-4539
(951) 970-2611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11575
AZ
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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