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1366043481
HALEY ALANE DIETRICK
WAVERLY, IA
NPI
1366043481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IA 099828)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
HALEY ALANE DIETRICK OTR/L
217 E BREMER AVE
WAVERLY, IA 50677-3435
Phone number: 319-352-1234
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Mailing Address
HALEY ALANE DIETRICK OTR/L
10418 JUBILEE RD
LA PORTE CITY, IA 50651-2059
Phone number: 319-240-2868
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