MS. Bridie Supple Deiters, PT

NPI #1437855913 in Frankfort, Illinois

Provider Information

NPI Number: 1437855913
Entity Type: Individual
Name: MS. Bridie Supple Deiters, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 6, 2023
Last Updated: Feb 6, 2023

Practice Location

Address: 7911 NORTHWOODS DR
City: Frankfort
State: Illinois
ZIP Code: 60423-9007
Phone: (708) 307-5473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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