Individual
MRS. BARBARA DIETERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
1 MASONIC DR, ELIZABETHTOWN, PA 17022-2199
(717) 367-1121
Mailing address
1 MASONIC DR, ELIZABETHTOWN, PA 17022-2199
(717) 367-1121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004373L
PA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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