Individual
AMY DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
9475 ROOSEVELT BLVD, PHILA, PA 19114-2212
(215) 464-6200
(215) 464-9834
Mailing address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 793-0432
(302) 793-0400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015673
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1412637
PA BS PROVIDER ID
PA
01
—
2099536000
AMERIHEALTH
PA
Enumeration date
06/11/2006
Last updated
03/09/2009
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