Individual
DEANNA LIEDERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 SAUL RD, KENSINGTON, MD 20895-3440
(414) 231-0284
Mailing address
5618 S 110TH ST, HALES CORNERS, WI 53130-1839
(414) 231-0284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05809
MD
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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