Individual
IAN M DZIENISIEWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
341 10TH AVENUE, SUITE 101, ROYERSFORD, PA 19468
(610) 792-8100
(610) 792-1535
Mailing address
676 DEKALB PIKE, SUITE 205, BLUE BELL, PA 19422
(610) 270-0370
(610) 270-0370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016960
PA
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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