Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AGNES P DIETENBERGER, PTA, CMT
Active Sole ProprietorAGNES P DIETENBERGER, PTA, CMT is a Occupational Therapist healthcare provider located in HARTFORD, Wisconsin. NPI 1306051743 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · HARTFORD, WI
Registration Details
- NPI Number
- 1306051743
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2007 (19.228325028902 yrs)
- Last Updated
- Jul 8, 2007
- License
-
20-019 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1640 E. SUMNER ST.HARTFORD, WI, 53027Browse WI providers · Browse ZIP 53027
- Phone
- 2626704300
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in HARTFORD, WI
| Name | Credential | NPI |
|---|---|---|
| THOMAS E GOECKS | PTA | 1043232135 |
| MS. KIMBERLY A BEIMEL | PTA | 1417102989 |
| BETTY HOPPERDIETZEL | PTA | 1447649876 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.