Individual
DIEDRA OLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2295 TOWNE LAKE PKWY STE 148, WOODSTOCK, GA 30189-5520
(770) 926-2744
(770) 926-2794
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006303
GA
Other
Enumeration date
01/30/2007
Last updated
03/13/2023
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