Individual
DIANE REITEN DIETERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 12TH AVE NE, SEATTLE, WA 98115-6753
(206) 409-1142
Mailing address
827 NW 106TH ST, SEATTLE, WA 98177-5133
(206) 409-1142
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00006619
WA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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