Individual
MRS. JILL MARIE DIENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1135 W UNIVERSITY DR, SUITE 450, ROCHESTER HILLS, MI 48307-1871
(248) 650-2400
(248) 650-4596
Mailing address
PO BOX 9042, BELFAST, ME 04915-9042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010779
MI
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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