Individual
DYLAN DAGENBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5500 CHAMBLEE DUNWOODY RD STE 5B, DUNWOODY, GA 30338-4162
(770) 396-3003
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
PT020540
OH
Other
Enumeration date
07/11/2023
Last updated
02/29/2024
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