Individual
MS. CECELIA J DIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877
(630) 282-2025
(630) 620-1148
Mailing address
116 WILLOW AVE, 2E, LOMBARD, IL 60148-2500
(630) 282-2025
(630) 620-1148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008482
IL
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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