Provider Demographics
NPI:1972317568
Name:MARCIC, DIJANA (DPT)
Entity type:Individual
Prefix:DR
First Name:DIJANA
Middle Name:
Last Name:MARCIC
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ELM RD
Mailing Address - Street 2:
Mailing Address - City:MCKNIGHT
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3906
Mailing Address - Country:US
Mailing Address - Phone:412-218-8438
Mailing Address - Fax:
Practice Address - Street 1:5025 25TH AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4152
Practice Address - Country:US
Practice Address - Phone:120-633-7563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT032836225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist