Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coleen Moira Dizon, LPTA

Individual provider Physical Therapy Assistant · NPI 1730705203

Coleen Moira Dizon, LPTA is a Physical Therapy Assistant in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020

Practice location Address checks out

5 Manor Dr Apt 3N
Newark, NJ 07106-3236
Phone: (858) 900-7854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00365400 (NJ)

Record details

NPI number1730705203
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorYes
NPI enumeratedJune 22, 2020
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020

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