TODD DIEFENDERFER

ENTERPRISE, AL
NPI1467671651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  PTA3762)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
-- TODD DIEFENDERFER PTA
404 N MAIN ST
ENTERPRISE, AL 36330-2563
Phone number: 334-308-9797
Mailing Address
-- TODD DIEFENDERFER PTA
PO BOX 729
DOTHAN, AL 36302-0729
Phone number: 334-793-2663
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