Individual
GABRIELE DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 MALTA LN, NORTH SYRACUSE, NY 13212-2375
(315) 413-4547
Mailing address
100 MALTA LN, NORTH SYRACUSE, NY 13212-2375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001426-1
NY
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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