Individual
MRS. DIANNE MARIE HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
719 E CATHERINE ST, DARLINGTON, WI 53530-1330
(608) 776-2639
Mailing address
N2530 CARNIE RD, MONROE, WI 53566-9107
(608) 329-7221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
594-26
WI
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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