Individual
SCOTT PADRAIC DIECKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
349 TIMOTHY WAY, RICHMOND, KY 40475-2630
(859) 623-4455
Mailing address
349 TIMOTHY WAY, RICHMOND, KY 40475-2630
(859) 623-4455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2486
KY
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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