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NPI Code Detail

MEDICARE: MARY DIEHL

MEDICARE: MARY DIEHL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist11580NC

General Provider Information

NPI Number : 1841708922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY DIEHL
Provider Business Mailing Address
First Line : 1428 PROVIDENCE GREEN LN
Second Line :
City : APEX
State : NC
Zip : 27502-8077
Country : US
Telephone Number : 919-323-5041
Fax Number :
Provider Business Practice Location Address
First Line : 8733 HOLLY SPRINGS RD
Second Line :
City : APEX
State : NC
Zip : 27539-9194
Country : US
Telephone Number : 919-981-6588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2018
Last Update Date : 10/19/2025

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Directions to “ MARY DIEHL ” Practice Location

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