Individual
JONATHAN DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1613 S HURON ST, YPSILANTI, MI 48197-9701
(734) 483-9200
(734) 483-9202
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501018390
MI
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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