Individual
MS. DIONE LORETTA IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2123
Mailing address
2365 E. NORTH UNION RD, BAY CITY, MI 48706-9295
(989) 233-8827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003802
MI
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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