Individual
DWIGHT ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6700 NW 10TH PL, GAINESVILLE, FL 32605-4213
(352) 331-3111
Mailing address
20612 NE 54TH ST, GAINESVILLE, FL 32609-4375
(352) 210-6228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35325
FL
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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