Individual
BETHANY DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, GCS
Contact information
Practice address
691 MURPHY RD, MEDFORD, OR 97504-4346
(541) 414-1800
Mailing address
3 MILL RUN, RENSSELAER, NY 12144-9699
(301) 471-4074
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
06365
OR
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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