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NPI Code Detail

MEDICARE: NAOMI MARIE DILLON DPT

MEDICARE: NAOMI MARIE DILLON DPT
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
1225100000XPhysical Therapist27619MD

General Provider Information

NPI Number : 1619524873
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI MARIE DILLON DPT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2222
Fax Number :
Provider Business Practice Location Address
First Line : 8116 RITCHIE HWY
Second Line :
City : PASADENA
State : MD
Zip : 21122-6916
Country : US
Telephone Number : 443-261-2220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2019
Last Update Date : 08/22/2019

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Directions to “ NAOMI MARIE DILLON DPT” Practice Location

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