Individual
TRACI JOY DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W WASHINGTON ST, NEW LONDON, WI 54961-1653
(920) 982-8540
Mailing address
901 W WASHINGTON ST, NEW LONDON, WI 54961-1653
(920) 982-8540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3166-26
WI
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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