Individual
DIANE MARIE SPIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1608 BEACH DR SE, FOREST LAKE, MN 55025-2042
(612) 250-3171
Mailing address
1608 BEACH DR SE, FOREST LAKE, MN 55025-2042
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A244
MN
Other
Enumeration date
04/16/2007
Last updated
09/11/2015
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