Individual
JODI DIEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459-4774
(920) 838-3359
Mailing address
1632 BRIEDWENG AVE, DAYTON, OH 45420-2116
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
06/10/2016
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