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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE MARIE DIETZ

Active Sole Proprietor

DOMINIQUE MARIE DIETZ is a Physical Therapy Assistant healthcare provider located in NEWTOWN SQUARE, Pennsylvania. NPI 1790586253 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · NEWTOWN SQUARE, PA

Registration Details

NPI Number
1790586253
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2025 (1.2172403115277 yrs)
Last Updated
Mar 21, 2025
Sole Proprietor
Yes

Practice Information

Address
4643 W CHESTER PIKE
NEWTOWN SQUARE, PA, 190732226
Browse PA providers · Browse ZIP 19073
Phone
6108710188
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in NEWTOWN SQUARE, PA

Name Credential NPI
BRIAN DAVID JERVA DPT 1851399950
DR. DONNA W. PELURA PT, DPT, MTC 1083687503
PHILIP BENINATO PT 1235104142
BRIAN M JOSLIN PT 1245288356
MS. CAROLYN A MAYE P.T. 1871532093
RAY WAHL DPT 1639112493
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.