Ryan Diederich
Ryan Diederich is a Physical Therapy Assistant in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2014
Practice location Address checks out
2827 Northgate BlvdFort Wayne, IN 46835-2900
Phone: (260) 490-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 06004770A (IN) |
|---|
Record details
| NPI number | 1104236108 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 30, 2014 |
| Last updated in NPPES | April 30, 2014 |
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