Michelle Lynn Dietz

NPI #1760809131 in Batavia, Illinois

Provider Information

NPI Number: 1760809131
Entity Type: Individual
Name: Michelle Lynn Dietz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Mar 24, 2014
Last Updated: Mar 24, 2014

Practice Location

Address: 1226 SCHIEDLER DR
City: Batavia
State: Illinois
ZIP Code: 60510-8617
Phone: (630) 761-4236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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