Provider Demographics
NPI:1629532783
Name:DION PHYSICAL THERAPY
Entity Type:Organization
Organization Name:DION PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:DION
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:774-955-5830
Mailing Address - Street 1:4263 N MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-1714
Mailing Address - Country:US
Mailing Address - Phone:774-955-5830
Mailing Address - Fax:774-955-5834
Practice Address - Street 1:4263 N MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-1714
Practice Address - Country:US
Practice Address - Phone:774-955-5830
Practice Address - Fax:774-955-5834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy