| Doctor Name: | MRS. NADINE T DZIEKETEY |
| NPI Number: | 1083810295 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 20179 |
| Business Practice Address: | 9801 Brokenland Pkwy Suite 103 Columbia, MD - 210463080 |
| Business Phone Number: | 8005333632 |
| Business Fax Number: | 8002323575 |
| Mailing Address: | 1710 Barnwood Ct, SEVERN |
| State: | MD |
| Postal Code: | 211446804 |
| Phone Number: | 4108465743 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 20179 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |