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Susan M Diedrick

Occupational Therapist in Fond Du Lac, WI. Individual provider (NPI-1).

NPI number1235452582
StatusActive
Last updated in NPPESMar 1, 2010

Details

NPI
1235452582
Entity type
Individual (NPI-1)
Name
Mrs. Susan M Diedrick
Sex
Female
Sole proprietor
No
Enumeration date
Mar 1, 2010
Last updated
Mar 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist225-26WIYes

Practice location

845 S Main St
Suite 120
Fond Du Lac, WI 54935-6174

Phone 920-322-0447 · Fax 920-322-1362

Mailing address

845 S Main St
Suite 120
Fond Du Lac, WI 54935-6174

Phone 920-322-0447 · Fax 920-322-1362

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Other Occupational Therapist providers in Fond Du Lac, WI

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