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Individual

DONNA L DIETRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1020 GREEN AVE, ALTOONA, PA 16601
(814) 946-2700
Mailing address
512 KERR AVE, PATTON, PA 16668-1620
(814) 674-5218

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008187
PA

Other

Enumeration date
07/27/2023
Last updated
07/27/2023
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