Individual
MRS. KATY LOU DIECKHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
301 HIGH HOPES CT, FRANKLIN, TN 37064-1452
(615) 661-5437
Mailing address
301 HIGH HOPES CT, FRANKLIN, TN 37064-1452
(314) 239-1379
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3890
TN
225XP0200X
Pediatric Occupational Therapist
2006004590
MO
Other
Enumeration date
03/01/2007
Last updated
12/05/2017
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