KIMBERLY SLADE DIETZ

ST PETERSBURG, FL
NPI1215667084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2022-06-14
Last Update Date2022-06-14
Business Address
KIMBERLY SLADE DIETZ PTA
10183 14TH ST N APT 105
ST PETERSBURG, FL 33716-4323
Phone number: 361-947-0940
Mailing Address
KIMBERLY SLADE DIETZ PTA
10183 14TH ST N APT 105
ST PETERSBURG, FL 33716-4323
Phone number: 361-947-0940