| NPI | 1174901706 |
|---|---|
| Professional Name | MICHELLE FAYE DEITRICK-WERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-00471) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |