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1083285035
ZACHARY LOGAN DIETZ
CHARLESTON, SC
NPI
1083285035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 10760)
Enumeration Date
2021-07-09
Last Update Date
2021-07-09
Business Address
Dr. ZACHARY LOGAN DIETZ PT, DPT
325 FOLLY RD STE 107
CHARLESTON, SC 29412-2507
Phone number: 843-762-0147
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Mailing Address
Dr. ZACHARY LOGAN DIETZ PT, DPT
1570 HIGHLAND AVE
CHARLESTON, SC 29412-3443
Phone number: 843-814-9129
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