Individual
ALYSSA MARIE DIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2725 S MOORLAND RD STE 301, NEW BERLIN, WI 53151-3720
(414) 329-2434
Mailing address
2725 S MOORLAND RD STE 301, NEW BERLIN, WI 53151-3720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8721-26
WI
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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