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1275050924
KRISTIN DIEDRICH
OSHKOSH, WI
NPI
1275050924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1913-19)
Enumeration Date
2017-08-24
Last Update Date
2022-07-21
Business Address
Mrs. KRISTIN DIEDRICH PTA
712 DOCTORS CT
OSHKOSH, WI 54901-2029
Phone number: 920-303-5300
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Mailing Address
Mrs. KRISTIN DIEDRICH PTA
712 DOCTORS COURT
OSHKOSH, WI 54901
Phone number: 920-303-5300
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