| Doctor Name: | MRS. JEAN LOUISE DIETRICH |
| NPI Number: | 1336340280 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 3096-024 |
| Business Practice Address: | 407 N 8th St Mount Horeb, WI - 535721872 |
| Business Phone Number: | 6084375511 |
| Business Fax Number: | 6084379603 |
| Mailing Address: | 559 E View Rd, VERONA |
| State: | WI |
| Postal Code: | 535931503 |
| Phone Number: | 6088452621 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3096-024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |