Mrs. Donna Gail Diedrich
Physical Therapist - Geriatrics
104 Marshall St
Fort Mill
, South Carolina 29715-1816
Mrs. Donna Gail Diedrich
Physical Therapist - Geriatrics
104 Marshall St
Fort Mill
, South Carolina 29715-1816
(803) 547-2708
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mrs. Donna Gail Diedrich
- 104 Marshall St
- Fort Mill, SC
- Zip : 29715-1816
- Fax : (803) 547-2708
- Phone : (803) 547-6817
Second Address
- Mrs. Donna Gail Diedrich
- 104 Marshall St
- Fort Mill, SC
- Zip : 29715-1816
- Fax : (803) 547-2708
- Phone : (803) 547-6817
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Is Mrs. Donna Gail Diedrich a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 1697 | SC |
National Provider Identifier
| NPI | 1063626802 |
|---|---|
| Provider Name | Mrs. Donna Gail Diedrich |
| First Address | Fort Mill, SC 29715-1816 |
| Second Address | Fort Mill, SC 29715-1816 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.