Dominique Marie Dietz
NPI #1790586253 in Newtown Square, Pennsylvania
Provider Information
- NPI Number
- 1790586253
- Entity Type
- Individual
- Name
- Dominique Marie Dietz
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 21, 2025
- Last Updated
- Mar 21, 2025
Practice Location
- Address
- 4643 W CHESTER PIKE
- City
- Newtown Square
- State
- Pennsylvania
- ZIP Code
- 19073-2226
- Phone
- (610) 871-0188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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