Individual provider · Type 1 NPI

Charles Joseph Dietzen, MD

Pediatric Rehabilitation Medicine Physician · Indianapolis, IN

NPI number 1790756385 Active

Practice location

705 Riley Hospital Dr, Ri 3146
Indianapolis, IN 46202-5109

Call (317) 944-2353 Map

Fax (317) 944-2390

Mailing address

PO Box 1026
Indianapolis, IN 46206-1026

Specialties and licenses

TaxonomyCodeLicense
Pediatric Rehabilitation Medicine Physician Primary 2081P0010X01036773A (IN)

Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…

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About NPI 1790756385

Charles Joseph Dietzen, MD's National Provider Identifier is 1790756385, issued on Jan 31, 2006. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 18, 2013.