Individual
MATHEW RYAN DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 ANTLER CIR, HOLLYWOOD PARK, TX 78232-2256
(210) 844-7099
Mailing address
108 ANTLER CIR, HOLLYWOOD PARK, TX 78232-2256
(210) 844-7099
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2070190
TX
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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