Individual
DR. SCOTT RYAN DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD, ATC
Contact information
Practice address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6695
(305) 899-4818
Mailing address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6695
(305) 899-4818
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003682
PA
Other
Enumeration date
10/23/2006
Last updated
08/24/2023
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