Provider Demographics
NPI:1225716335
Name:DOMBROWSKI, DEAN (LAT, ATC, NCSF-CSC)
Entity type:Individual
Prefix:MR
First Name:DEAN
Middle Name:
Last Name:DOMBROWSKI
Suffix:
Gender:M
Credentials:LAT, ATC, NCSF-CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:RINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17967-9713
Mailing Address - Country:US
Mailing Address - Phone:570-900-1921
Mailing Address - Fax:
Practice Address - Street 1:1015 PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1285
Practice Address - Country:US
Practice Address - Phone:570-900-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PART0086482255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program