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

ETZER-JAN DIJKSTRA, PT

Active Sole Proprietor

ETZER-JAN DIJKSTRA, PT is a Physical Therapy Assistant healthcare provider located in HARRISBURG, Pennsylvania. NPI 1952633166 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HARRISBURG, PA

Registration Details

NPI Number
1952633166
Provider Type
Individual
Gender
Male
NPI Issued
Feb 12, 2010 (16.506366165111 yrs)
Last Updated
Feb 12, 2010
Licenses
PT019715 (PA)
2305204052 (VA)
Sole Proprietor
Yes

Practice Information

Address
7414 AUTUMN WOOD DR
HARRISBURG, PA, 171128805
Browse PA providers · Browse ZIP 17112
Phone
7179030488
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in HARRISBURG, PA

Name Credential NPI
HONNELLEE LO CACAL PT 1285638791
LINDA JEAN JONES PT 1083618458
NICOLE RENEE NOONE PT 1003811324
MARY ANNE GINGERICH P.T. 1881692846
MARK LEONARD SMITH P.T. 1982602819
KRISTEN A COYLE PT 1659367084
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.