Individual provider · Type 1 NPI

Ryan Diederich

Physical Therapy Assistant · Fort Wayne, IN

NPI number 1104236108 Active

Practice location

2827 Northgate Blvd
Fort Wayne, IN 46835-2900

Call (260) 490-1400 Map

Mailing address

302 Union Station Dr
Fort Wayne, IN 46814-8964

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06004770A (IN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104236108

Ryan Diederich's National Provider Identifier is 1104236108, issued on Apr 30, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 30, 2014.