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1053029306
COLLIN DIEFFENBACH
TAMPA, FL
NPI
1053029306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT39551)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
COLLIN DIEFFENBACH
14813 N DALE MABRY HWY STE 720
TAMPA, FL 33618-2027
Phone number: 813-964-5982
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Mailing Address
COLLIN DIEFFENBACH
13519 CAPITOL DR
TAMPA, FL 33613-3105
Phone number:
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