Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN DIEDERICH
Active Sole ProprietorRYAN DIEDERICH is a Occupational Therapist healthcare provider located in FORT WAYNE, Indiana. NPI 1104236108 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1104236108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2014 (12.24773268801 yrs)
- Last Updated
- Apr 30, 2014
- License
-
06004770A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2827 NORTHGATE BLVDFORT WAYNE, IN, 468352900Browse IN providers · Browse ZIP 46835
- Phone
- 2604901400
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE EBERHART | — | 1073623948 |
| APRIL A ROSENOGLE | PTA | 1972604601 |
| AMANDA S MELCHER | PTA | 1902907637 |
| JENNIFER M HOWELL | PTA | 1770684417 |
| JEFFREY LAMBERT | PTA | 1548304546 |
| MARGARET ECKRICH | PTA | 1477698025 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.