Individual
LISA DIETSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
640 W MARKET ST, AKRON, OH 44303-1413
(330) 762-5425
Mailing address
640 W MARKET ST, AKRON, OH 44303-1413
(330) 762-5425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008872
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT008872
P.T.
OH
Enumeration date
03/09/2007
Last updated
04/04/2008
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