Individual
DOMINIQUE MARIE DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4643 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-2226
(610) 871-0188
Mailing address
218 STANBRIDGE RD, HOLMES, PA 19043-1421
(610) 212-2090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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