Individual
MRS. DONNA PHARO DYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
22 W JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9422
(609) 652-9270
Mailing address
203 N ROOSEVELT BLVD, BRIGANTINE, NJ 08203-2703
(609) 266-9255
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00147700
NJ
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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