ERIN DIEDRICK

KAUKAUNA, WI
NPI1699906016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy313M00000X Nursing Facility/Intermediate Care Facility
(Licence: WI  2988)
Enumeration Date2009-08-03
Last Update Date2009-08-03
Business Address
-- ERIN DIEDRICK OT
316 E 14TH ST
KAUKAUNA, WI 54130-3304
Phone number: 920-766-6020
Mailing Address
-- ERIN DIEDRICK OT
W994 COUNTY ROAD JJ
KAUKAUNA, WI 54130-9639
Phone number: 920-759-0894
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