Doctor Name: | MR. RIC JAYSON DIZON |
NPI Number: | 1083823223 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | QA00853300 |
Business Practice Address: | 1045 E Chestnut Ave Vineland, NJ - 083605838 |
Business Phone Number: | 8564052530 |
Business Fax Number: | 8566965770 |
Mailing Address: | 513 Linda Ln, MILLVILLE |
State: | NJ |
Postal Code: | 083321777 |
Phone Number: | 8563270995 |
Fax Number: | 8563270995 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | QA00853300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |