NPI 1053898510

Dillon Ivan

Practitioner Physical Therapy Assistant Waterbury, CT

Practice location

Address: 22 Tompkins St, Waterbury, CT 06708-1458
Phone: (203) 419-0381

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1931 (CT)

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Registry record

NPI: 1053898510
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2018
Record last updated: 26 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.