Provider Demographics
NPI:1598988099
Name:SINGZON, DEXTER KIERULF (LPT)
Entity Type:Individual
Prefix:MR
First Name:DEXTER
Middle Name:KIERULF
Last Name:SINGZON
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 ELDON AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1815
Mailing Address - Country:US
Mailing Address - Phone:610-259-9603
Mailing Address - Fax:610-259-9619
Practice Address - Street 1:36 ELDON AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1815
Practice Address - Country:US
Practice Address - Phone:610-259-9603
Practice Address - Fax:610-259-9619
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008846L2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics