MRS. Susan M Diedrick
NPI #1235452582 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1235452582
- Entity Type
- Individual
- Name
- MRS. Susan M Diedrick
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Mar 1, 2010
- Last Updated
- Mar 1, 2010
Practice Location
- Address
- 845 S MAIN ST
- Address 2
- SUITE 120
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-6174
- Phone
- (920) 322-0447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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