Addison Dwyer, PTA

NPI #1700522125 in Gridley, California

Provider Information

NPI Number: 1700522125
Entity Type: Individual
Name: Addison Dwyer, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 9, 2022
Last Updated: May 9, 2022

Practice Location

Address: 240 SPRUCE ST
City: Gridley
State: California
ZIP Code: 95948-2216
Phone: (530) 292-7963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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