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1275179889
NICHOLAS W DIETRICH
WASHINGTON, MO
NPI
1275179889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2020004360)
Enumeration Date
2019-11-19
Last Update Date
2020-02-10
Business Address
NICHOLAS W DIETRICH DPT
3101 RECREATION DR STE 130
WASHINGTON, MO 63090-6107
Phone number: 636-239-9979
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Mailing Address
NICHOLAS W DIETRICH DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980
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