Herbert Deiters, PT

NPI #1992916605 in Homer Glen, Illinois

Provider Information

NPI Number: 1992916605
Entity Type: Individual
Name: Herbert Deiters, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 24, 2007
Last Updated: Sep 14, 2012

Practice Location

Address: 15750 MARIAN DR
City: Homer Glen
State: Illinois
ZIP Code: 60491-6200
Phone: (708) 645-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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