Individual
DR. KRISTAN RENEE TIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T
Contact information
Practice address
6416 E MARILYN RD, SCOTTSDALE, AZ 85254-2614
(480) 773-4727
Mailing address
6416 E MARILYN RD, SCOTTSDALE, AZ 85254-2614
(480) 773-4727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8349
AZ
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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