Individual
ANDREA NICOLE WOLOSZ DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
(608) 203-4544
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
(608) 203-4544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5017-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5017-023
OCCUPTATIONAL THERAPIST
WI
Enumeration date
04/20/2011
Last updated
10/03/2011
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