Kelsey Dietzen, PTA
NPI #1356850358 in Hampstead, North Carolina
Provider Information
- NPI Number
- 1356850358
- Entity Type
- Individual
- Name
- Kelsey Dietzen, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 22, 2017
- Last Updated
- Sep 22, 2017
Practice Location
- Address
- 2645 COUNTRY CLUB DR
- City
- Hampstead
- State
- North Carolina
- ZIP Code
- 28443-2530
- Phone
- (920) 428-0370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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