Individual
MR. JOHN ANTHONY DITIZII
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11 CRANFORD RD, BARDONIA, NY 10954-2003
(973) 224-0421
Mailing address
11 CRANFORD RD, BARDONIA, NY 10954-2003
(973) 224-0421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010865-1
NY
225200000X
Physical Therapy Assistant
010865-1
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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