Individual
ADDISON DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
240 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 292-7963
Mailing address
1987 BELGIUM AVE, CHICO, CA 95928-9413
(530) 966-2330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51867
CA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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