Individual
ERIC JAN DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, OCS
Contact information
Practice address
421 MALL CIRCLE DR, MONROEVILLE, PA 15146-2207
(412) 822-3000
Mailing address
421 MALL CIRCLE DR, MONROEVILLE, PA 15146-2207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025784
PA
2251X0800X
Orthopedic Physical Therapist
PT025784
PA
Other
Enumeration date
03/30/2017
Last updated
10/26/2023
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