EMMA JEAN DEDERICH

BARABOO, WI
NPI1194087734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  5172-26)
Enumeration Date2012-06-11
Last Update Date2012-06-11
Business Address
-- EMMA JEAN DEDERICH OTR
1414 JEFFERSON ST
BARABOO, WI 53913-1503
Phone number: 608-356-1400
Mailing Address
-- EMMA JEAN DEDERICH OTR
1414 JEFFERSON ST
BARABOO, WI 53913-1503
Phone number: 608-356-1400