Individual
JULIE CRYSTAL RIETDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
626 BETHANY RD, DEKALB, IL 60115-4939
(815) 748-8900
Mailing address
583 CLAYTON CIR, SYCAMORE, IL 60178-8908
(269) 491-2969
(815) 758-0717
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008642
IL
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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