Individual
JENNA DIEKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 N NISSEN RD, MARTIN, OH 43445-9714
(419) 356-2064
Mailing address
1850 NORTH NISSEN ROAD, MARTIN, OH 43445-9714
(419) 356-2064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.09374
OH
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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