DAVID DIETZ

CAROL STREAM, IL
NPI1669896031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.008407)
Enumeration Date2014-02-06
Last Update Date2014-02-06
Business Address
-- DAVID DIETZ OTR/L
124 WINDSOR PARK DR
CAROL STREAM, IL 60188-1986
Phone number: 630-510-4700
Mailing Address
-- DAVID DIETZ OTR/L
818 INDIANA AVE
ST CHARLES, IL 60174-3138
Phone number: 773-716-4725