Individual
BRYAN DIETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5855 MONROE ST, SYLVANIA, OH 43560-2269
(419) 291-2273
Mailing address
7157 JAMESFORD DR, TOLEDO, OH 43617-1370
(419) 410-2876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016005
MI
Other
Enumeration date
08/23/2012
Last updated
10/11/2018
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