Individual provider · Type 1 NPI

Susan M. Diedrick

Occupational Therapist · Fond Du Lac, WI

NPI number 1235452582 Active

Practice location

845 S Main St, Suite 120
Fond Du Lac, WI 54935-6174

Call (920) 322-0447 Map

Fax (920) 322-1362

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X225-26 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1235452582

Susan M. Diedrick's National Provider Identifier is 1235452582, issued on Mar 1, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Mar 1, 2010.