| NPI | 1205085131 |
|---|---|
| Former Name | ALLISON MARIE DIETSCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9162) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60025162) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2022-03-16 |