Individual
THADDEUS DZIEDZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2 GRACEDALE AVE, NAZARETH, PA 18064-8785
(610) 746-1900
Mailing address
114 BUTLER ST, WYOMING, PA 18644-1902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
PA
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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