MEDICARE: CHRISTOPHER A DILDINE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT017030	PA

General Provider Information

NPI Number	:	1508892142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER A DILDINE PT

Provider Business Mailing Address
First Line	:	PO BOX 372
Second Line	:
City	:	MADISON
State	:	PA
Zip	:	15663-0372
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 PEASANT VILLAGE LN
Second Line	:	SUITE 103
City	:	BELLE VERNON
State	:	PA
Zip	:	15012-4333
Country	:	US
Telephone Number	:	724-929-5866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	07/08/2007

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