Individual
NICOLE MARIE DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6 E KING ST APT 1, SHIPPENSBURG, PA 17257-1343
(717) 491-2920
Mailing address
6 E KING ST APT 1, SHIPPENSBURG, PA 17257-1343
(717) 491-2920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003667
PA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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