Individual
MARILOU DYTIOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6585 BROADWAY, BRONX, NY 10471-2050
(718) 549-2200
Mailing address
112 COLUMBIA AVE, DUMONT, NJ 07628-3523
(646) 824-9993
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006589
NY
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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