Individual
REBECCA DIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
(480) 456-0163
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
(480) 456-0163
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11569
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028723
—
AZ
Enumeration date
06/03/2015
Last updated
05/09/2018
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