Dieckman, Mari Dolores
Dieckman, Mari Dolores is an sole proprietor health care provider with primary practice located at 125 E Elm Ave Suite 103, Flagstaff AZ 86001-3258. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Dieckman, Mari Dolores can be contacted via phone (928) 213-9730.Contact Information
Primary practice address
125 E Elm Ave Suite 103
Flagstaff AZ 86001-3258
Phone: (928) 213-9730
Fax: (928) 213-9732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2093 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 2093 | Arizona |
Profile Details
| NPI number | 1225185366 |
|---|---|
| LBN Legal business name | Dieckman, Mari Dolores |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Aug 1st, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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