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Erin Diedrick, OT
Nursing Facility/Intermediate Care Facility in Kaukauna, Wisconsin
NPI 1699906016

Erin Diedrick is a Nursing Facility/Intermediate Care Facility based in Kaukauna, WI. Erin Diedrick practices in Kaukauna, WI and has the professional credentials of OT. The NPI Number for Erin Diedrick is 1699906016 and holds a License No. 2988 (Wisconsin).

The current practice location address for Erin Diedrick is 316 E 14Th St, Kaukauna, WI and can be reached out via phone at 920-766-6020.

Location: 316 E 14Th St, Kaukauna, WI, 54130-9639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699906016
Provider Name
Erin Diedrick
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
316 E 14Th St, Kaukauna, WI, 54130-9639
Phone Number
920-766-6020
Fax Number
Provider Enumeration Date
08/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
316 E 14Th St
City
Kaukauna
State
Wisconsin
Zip
54130-3304
Phone Number
920-766-6020
Fax Number
person
Provider Business Mailing Address Details
Address
316 E 14Th St
City
Kaukauna
State
Wisconsin
Zip
54130-3304
Phone Number
920-766-6020
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
2988 (Wisconsin)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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920-766-6020
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