Individual
KRISTIN DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
(904) 886-3297
Mailing address
202 AQUARIUS CIR N, JACKSONVILLE, FL 32216-1510
(904) 886-3228
(904) 886-3297
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT23212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT23212
PHYSICAL THERAPIST
FL
Enumeration date
04/17/2007
Last updated
07/08/2007
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