Individual
BENJAMIN M DIEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5950 UNIVERSITY AVE STE 285, WEST DES MOINES, IA 50266-8236
(515) 875-9706
(515) 875-9707
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9317
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
109237
IA
225100000X
Physical Therapist
16274
WI
Other
Enumeration date
07/14/2021
Last updated
01/30/2024
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