Individual
MRS. KRISTIN DIEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
712 DOCTORS CT, OSHKOSH, WI 54901-2029
(920) 303-5300
Mailing address
712 DOCTORS COURT, OSHKOSH, WI 54901
(920) 303-5300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1913-19
WI
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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