MR. Kevin C. Diers, PTA

NPI #1780706606 in Dixon, Illinois

Provider Information

NPI Number
1780706606
Entity Type
Individual
Name
MR. Kevin C. Diers, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Apr 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
403 E 1ST ST
City
Dixon
ZIP Code
61021-3116
Phone
(815) 285-5591

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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