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Individual

ERIN DIFFENDERFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4377 DUNMORE RD NE, MARIETTA, GA 30068-4222
(678) 595-8662
Mailing address
4377 DUNMORE RD NE, MARIETTA, GA 30068-4222
(678) 595-8662

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6514
GA

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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