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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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