Marea A Dricken, PT, OTR

NPI #1205879962 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1205879962
Entity Type: Individual
Name: Marea A Dricken, PT, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, OTR
Enumeration Date: Jun 13, 2006
Last Updated: Aug 10, 2007

Practice Location

Address: 421 CAMELOT DR
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935
Phone: (920) 923-7940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Occupational Therapist	225X00000X

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