Individual
DR. ZACHARY LOGAN DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
325 FOLLY RD STE 107, CHARLESTON, SC 29412-2507
(843) 762-0147
Mailing address
1570 HIGHLAND AVE, CHARLESTON, SC 29412-3443
(843) 814-9129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10760
SC
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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