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LANE DAVID DIECKOW
Physical Therapist
NPI: 1467690073IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
070016884(IL)
Education
OTHER
Class of 2008
Contact & Hours
- Address
- 3714 N PROSPECT RD
PEORIA, IL 61614 - Phone
- (309) 550-7888
Quick Facts
- NPI
- 1467690073
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 18
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