John Leslie Diels, P.T. Valid NPI

Individual provider · Physical Therapist · Waukesha, WI

NPI

1780814186

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

2139-024 (WI)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-07-20

Last updated

2009-07-20