Individual
LISA DIEKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1637 N NISSEN RD, MARTIN, OH 43445-9714
(419) 862-3753
(419) 862-3753
Mailing address
1637 N NISSEN RD, MARTIN, OH 43445-9714
(419) 862-3753
(419) 862-3753
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.03776
OH
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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