IndividualActive
Erin Diedrick, OT
NPI 1699906016 · Nursing Facility/Intermediate Care Facility · Kaukauna, WI
Provider details
- NPI number
- 1699906016
- Entity type
- Individual
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2988 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
316 E 14th St
Kaukauna, WI 54130-3304
Phone: (920) 766-6020
Approximate (ZIP-level) locationGet directions
Mailing address
W994 County Road Jj
Kaukauna, WI 54130-9639
Registry dates
- Enumerated
- 2009-08-03
- Last updated
- 2009-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.