Individual
MRS. MICHELE DIANE DEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2119 E NATIONAL HWY, WASHINGTON, IN 47501-4507
(812) 254-3301
(812) 257-0039
Mailing address
2800 S 125 E, WASHINGTON, IN 47501-7552
(812) 254-1826
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000329A
IN
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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