Individual
CAROL ANN DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3003 HIGHWAY 95, SUITE 61, BULLHEAD CITY, AZ 86442
(928) 758-0029
(928) 758-0055
Mailing address
2225 LARIAT DR, BULLHEAD CITY, AZ 86442-8802
(928) 758-6014
(928) 758-0055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1526
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0693
LICENSURE
NV
01
—
1526
LICENSURE
AZ
01
—
20870
LICENSURE
CA
01
—
247
LICENSURE
WY
Enumeration date
09/25/2006
Last updated
07/08/2007
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