Dustin Blake Hendrick
Physical Therapist - Geriatrics
590 S 5th Ave
Lebanon
, Pennsylvania 17042-9195
Dustin Blake Hendrick
Physical Therapist - Geriatrics
590 S 5th Ave
Lebanon
, Pennsylvania 17042-9195
(434) 774-6720
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Dustin Blake Hendrick
- 701 Reading Ave Apt 412
- West Reading, PA
- Zip : 19611-1284
- Phone : (434) 774-6720
Second Address
- Dustin Blake Hendrick
- 590 S 5th Ave
- Lebanon, PA
- Zip : 17042-9195
- Phone : (717) 274-0421
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FAQs
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Is Dustin Blake Hendrick a sole practitioner?
Is Dustin Blake Hendrick accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | PT028190 | PA |
National Provider Identifier
| NPI | 1073133385 |
|---|---|
| Provider Name | Dustin Blake Hendrick |
| First Address | West Reading, PA 19611-1284 |
| Second Address | Lebanon, PA 17042-9195 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2020 |
| Last Update Date | 16/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PT028190 | PHYSICAL THERAPIST STATE LICENSE (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.