Individual
NICOLE DIEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
G3201 BEECHER RD, FLINT, MI 48532-3615
(810) 732-9200
Mailing address
1016 THOMAS DR, ASHLAND, OH 44805-2951
(419) 606-9885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010531
MI
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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