Richard Deibel, PT

NPI #1376784967 in Crystal Lake, Illinois

Provider Information

NPI Number: 1376784967
Entity Type: Individual
Name: Richard Deibel, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 12, 2009
Last Updated: Mar 12, 2009

Practice Location

Address: 540 E TERRA COTTA AVE
Address 2: SUITE G
City: Crystal Lake
State: Illinois
ZIP Code: 60014-3652
Phone: (815) 477-8004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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