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RYAN DIEDERICH

Physical Therapy Assistant

NPI: 1104236108Individual

Specialties, Licenses & Credentials

Physical Therapy Assistant

Code: 225200000X

06004770A(IN)

Contact & Hours

Address
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835

Quick Facts

NPI
1104236108
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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