Individual
ALECIA LYN DADEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
742 STERBENZ DR, HUDSON, WI 54016-8327
(715) 386-2128
Mailing address
253 N 2ND ST, NEW RICHMOND, WI 54017-1106
(715) 338-5730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
7180-26
WI
225XP0200X
Pediatric Occupational Therapist
Primary
7180-26
WI
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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