Individual
MS. MAGGIE ELIZABETH DEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA, LMT
Contact information
Practice address
1051 CLARK ST, REEDSBURG, WI 53959-2321
(608) 524-7500
Mailing address
2448 S 102ND ST, MILWAUKEE, WI 53227-2466
(414) 329-2500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5471
WI
Other
Enumeration date
12/11/2017
Last updated
03/17/2018
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