Individual
ERIN MICHELE DIETL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15201 OLIVE BLVD, CHESTERFIELD, MO 63017-1810
(636) 532-1515
Mailing address
357 HUNTLEIGH PKWY, WENTZVILLE, MO 63385-7264
(618) 363-6945
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016037339
MO
Other
Enumeration date
08/11/2019
Last updated
11/15/2023
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