Individual
ALLISON DIETL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 W BROAD ST STE 100, FALLS CHURCH, VA 22046-3131
(571) 378-1272
Mailing address
803 W BROAD ST STE 100, FALLS CHURCH, VA 22046-3131
(571) 378-1272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010889
VA
Other
Enumeration date
02/11/2025
Last updated
09/25/2025
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