Organization Name: | MARI DIECKMAN MPT PC |
NPI Number: | 1689861288 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARI DIECKMAN (OWNER OPERATOR) |
Mailing Address: | 940 N Switzer Canyon Dr Suite 102 Flagstaff |
State: | AZ US |
Postal Code: | 860014852 |
Phone Number: | 9287795111 |
Fax Number: | 9287791374 |
NPI Enumeration Date: | 09/27/2007 |
NPI Last Update Date: | 01/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |