MRS. Kelly Lee Straus-Diedrick, PT

NPI #1083825608 in Winnebago, Wisconsin

Provider Information

NPI Number: 1083825608
Entity Type: Individual
Name: MRS. Kelly Lee Straus-Diedrick, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 725 BUTLER AVE
City: Winnebago
State: Wisconsin
ZIP Code: 54985
Phone: (920) 235-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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