Individual ProviderMary Elizabeth DiedrichPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4530 E Muirwood Dr, Suite 111, Phoenix, AZ 85048-7639(480) 961-2365PECOS EnrollmentBased on the most recent information from CMS, provider Mary Elizabeth Diedrich does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1639514318Provider TypeIndividualFull NameDiedrich, Mary ElizabethCredentialP.T.GenderFemaleSole ProprietorYesEnumeration Date5/7/2013Last Updated5/7/2013Contact InformationPractice LocationPractice Address4530 E Muirwood Dr, Suite 111, Phoenix, AZ 85048-7639Phone(480) 961-2365FaxUnlisted FaxMailing LocationMailing Address4530 E Muirwood Dr, Suite 111, Phoenix, AZ 85048-7639Phone(480) 961-2365FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5232Arizona