Individual
MICHELLE DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16405 NORTHCROSS DR, SUITE G2, HUNTERSVILLE, NC 28078-5091
(716) 553-1208
Mailing address
16405 NORTHCROSS DR, SUITE G2, HUNTERSVILLE, NC 28078-5091
(716) 553-1208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3721
NC
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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