| Doctor Name: | MRS. DONNA GAIL DIEDRICH |
| NPI Number: | 1063626802 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | 1697 |
| Business Practice Address: | 104 Marshall St Fort Mill, SC - 297151816 |
| Business Phone Number: | 8035476817 |
| Business Fax Number: | 8035472708 |
| Mailing Address: | 104 Marshall St, FORT MILL |
| State: | SC |
| Postal Code: | 297151816 |
| Phone Number: | 8035476817 |
| Fax Number: | 8035472708 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 1697 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |