Individual
CHRISTOPHER DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
804 STATE ST UNIT 5, QUINCY, IL 62301-4968
(217) 224-1750
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070025019
IL
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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