Individual
THOMAS DIETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 831-7525
Mailing address
2 FRONT ST, APT 301, CATASAUQUA, PA 18032-1996
(610) 266-1228
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN09814L
PA
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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