Individual
MICHELLE LYNN DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 SCHIEDLER DR, BATAVIA, IL 60510-8617
(630) 761-4236
Mailing address
1226 SCHIEDLER DR, BATAVIA, IL 60510-8617
(630) 761-4236
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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