Individual
HENRY DIEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1267 MERIDIAN AVE, SAN JOSE, CA 95125-5210
(408) 267-4256
Mailing address
3392 GULUZZO DR, SAN JOSE, CA 95148-1328
(310) 998-7971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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