Individual
DYLAN JAMES LODOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
(800) 995-2673
Mailing address
7135 OLEAN RD APT 5, SOUTH WALES, NY 14139-9725
(716) 220-2024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
047543
NY
225100000X
Physical Therapist
Primary
207443
AK
225100000X
Physical Therapist
64685
OR
225100000X
Physical Therapist
PT61374006
WA
Other
Enumeration date
09/29/2021
Last updated
04/05/2023
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