Individual
DR. JACOB DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7710 OLENTANGY RIVER RD STE 100, COLUMBUS, OH 43235-1353
(614) 841-3900
Mailing address
1378 VIRGINIA AVE, COLUMBUS, OH 43212-3039
(859) 547-9555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019403
OH
Other
Enumeration date
07/05/2021
Last updated
10/12/2022
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