Individual
MRS. DIANE MARIE DRAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
W180N8071 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 253-2700
Mailing address
N59W24230 BLACKHAWK CT, SUSSEX, WI 53089-3689
(262) 246-8506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
239 026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40583500
—
WI
Enumeration date
05/04/2008
Last updated
05/15/2008
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