Individual
BENJAMIN M DIERINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
9127 W THUNDERBIRD RD, SUITE 101, PEORIA, AZ 85381-4887
(623) 322-0654
(623) 322-0664
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11040PT
AZ
Other
Enumeration date
09/03/2014
Last updated
12/14/2016
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