Ellizabeth Ann Diedricksen

Individual provider Pediatric Occupational Therapist · NPI 1063729796

Ellizabeth Ann Diedricksen is a Pediatric Occupational Therapist in Stoughton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in: MA
In the registry since: 2010

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Practice location Address checks out

31 Bradford St
Stoughton, MA 02072-2874
Phone: (781) 344-1364

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Specialties & licences

Pediatric Occupational Therapist (primary)	Taxonomy 225XP0200X · Licence 7556 (MA)

Record details

NPI number	1063729796
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	September 1, 2010
Last updated in NPPES	September 1, 2010
Mailing address	31 Bradford St, Stoughton, MA 02072-2874