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Individual

DR. KAILEIGH DIETRICH-DENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4859 MEADOWS RD STE 161, LAKE OSWEGO, OR 97035-2628
(503) 387-6081
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65699
OR

Other

Enumeration date
05/16/2025
Last updated
05/16/2025
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