Jamie Diesetlhorst
NPI #1588957443 in Bunker Hill, Illinois
Provider Information
- NPI Number
- 1588957443
- Entity Type
- Individual
- Name
- Jamie Diesetlhorst
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- May 25, 2011
- Last Updated
- May 25, 2011
Practice Location
- Address
- 14905 WINDY HILL ROAD
- City
- Bunker Hill
- State
- Illinois
- ZIP Code
- 62014-3003
- Phone
- (618) 585-4546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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