Individual
MARK DINICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2328 S 16TH ST, PHILADELPHIA, PA 19145-4310
(267) 679-3017
Mailing address
2328 S 16TH ST, PHILADELPHIA, PA 19145-4310
(267) 679-3017
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT029243
PA
Other
Enumeration date
04/13/2021
Last updated
01/31/2024
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