Individual
CHEYENNE DIETSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Mailing address
305 KNIGHTSBRIDGE RD APT 3, WAUNAKEE, WI 53597-1738
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5757-27
WI
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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