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1083672687
BRIAN THOMAS DIKSA
BALA CYNWYD, PA
NPI
1083672687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT018003)
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
Mr. BRIAN THOMAS DIKSA DPT
100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004-1108
Phone number: 610-668-0904
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Mailing Address
Mr. BRIAN THOMAS DIKSA DPT
1000 CONESTOGA RD APT #B229
BRYN MAWR, PA 19010-1551
Phone number: 302-690-9243
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