Individual
KAY DIETER OSTERLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1312 W ARCH HAVEN AVE STE E, BLOOMINGTON, IN 47403-2088
(812) 336-8406
(812) 336-8342
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12600
TN
225100000X
Physical Therapist
12829
SC
225100000X
Physical Therapist
Primary
—
IN
Other
Enumeration date
08/02/2019
Last updated
08/21/2025
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