Individual
MRS. KELLY LEE STRAUS-DIEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
725 BUTLER AVE, WINNEBAGO, WI 54985
(920) 235-5100
(980) 233-7352
Mailing address
W387 WEILER RD, KAUKAUNA, WI 54130
(920) 766-6456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4444
WI
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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