Individual
KATIE LYNN DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
910 W WILLIAMS ST, APEX, NC 27502-5201
(919) 220-5255
(919) 220-6971
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
(919) 220-6971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
007252
OH
225X00000X
Occupational Therapist
Primary
9599
NC
225XH1200X
Hand Occupational Therapist
9599
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9599
OT LICENSE
NC
Enumeration date
03/30/2011
Last updated
07/15/2025
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