Individual
ADAM MICHAEL DORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
105 MORTON AVE, RIDLEY PARK, PA 19078
(610) 521-1331
Mailing address
27 KATIE WAY, WEST CHESTER, PA 19380
(610) 738-9262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE0024346
PA
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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