Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NICOLE DAWN DIEDRICH, P.T.
ActiveMRS. NICOLE DAWN DIEDRICH, P.T. is a Physical Therapy Assistant healthcare provider located in PECATONICA, Illinois. NPI 1750438826 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PECATONICA, IL
Registration Details
- NPI Number
- 1750438826
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2007 (19.619305410756 yrs)
- Last Updated
- Jul 11, 2018
- Licenses
-
070013314 (IL)070013314 (IL)
Practice Information
- Address
-
219 MAIN STPECATONICA, IL, 610639195Browse IL providers · Browse ZIP 61063
- Phone
- 8152392233
- Fax
- 8152399999
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in PECATONICA, IL
| Name | Credential | NPI |
|---|---|---|
| KRISTI ABEL | — | 1649759150 |
| GINA MARIE TASSIONE | PT, DPT | 1992477954 |
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.