Lois Ann Dietrich, PT

NPI #1669568903 in Longview, Texas

Provider Information

NPI Number: 1669568903
Entity Type: Individual
Name: Lois Ann Dietrich, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2901 N 4TH ST
City: Longview
State: Texas
ZIP Code: 75605-5128
Phone: (903) 232-3640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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