Jean Louise Dietrich PT

NPI 1336340280 - Physical Therapist - 225100000X

NPI Details
NPI 1336340280
Gender Female
Enumeration Date 05/29/2007
Last Updated 06/06/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
407 N 8TH ST
MOUNT HOREB WI, 53572-1872, US
Phone (608) 437-5511
Fax (608) 437-9603
Business Location
VERONA WI, 53593-1503, US
Phone (608) 845-2621
Taxonomy Code 225100000X
License State Wisconsin
License Number 3096-024
Remove 1336340280 NPI Number

According to our database, Mrs. Jean Louise Dietrich PT NPI is 1336340280, taxonomy code is 225100000X and license number is 3096-024, license state is located at Wisconsin. Jean Louise Dietrich PT physically located at 407 N 8th St, Mount Horeb WI, 53572-1872. NPI Number Jean Louise Dietrich PT has the Individual type.

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1336340280 NPI number is provided on an as is basis without warranty of any kind. 1336340280 is maintained by the National Plan & Provider Enumeration System. The contents of Jean Louise Dietrich PT are for informational purposes only.