Individual
COREY DIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
400 OVESEN DR, WILTON, IA 52778-9612
(563) 732-4317
(536) 732-4318
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005327
IA
Other
Enumeration date
02/09/2014
Last updated
03/30/2018
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