Dillon, Randy W

Dillon, Randy W is an sole proprietor health care provider with primary practice located at 617C Chester Pike , Prospect Park PA 19076-1506. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Dillon, Randy W can be contacted via phone (267) 800-8031.

Contact Information

Primary practice address
617C Chester Pike Prospect Park PA 19076-1506
Phone: (267) 800-8031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MSG010353 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT003236 Pennsylvania

Profile Details

NPI number 1043810021
LBN Legal business name Dillon, Randy W
Credentials ATC, OPE-C, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2020
Last updated Oct 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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