Individual
JOHN LESLIE DIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1810 KENSINGTON DR, WAUKESHA, WI 53188-5616
(262) 548-1400
Mailing address
2350 COUNTY ROAD AB, MC FARLAND, WI 53558-9760
(608) 335-8913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2139-024
WI
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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