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Individual

EMILY ANN DIEKEMPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
20201 CRAWFORD AVE # OF606, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
Mailing address
20201 CRAWFORD AVE # OF606, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003162
IL

Other

Enumeration date
02/03/2023
Last updated
02/03/2023
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