Dietz, Jennifer

Dietz, Jennifer is an individual health care provider with primary practice located at 4801 Springfield St , Dayton OH 45431-1084. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Dietz, Jennifer can be contacted via phone (937) 236-9965.

Contact Information

Primary practice address
4801 Springfield St Dayton OH 45431-1084
Phone: (937) 236-9965
Fax: (937) 233-0161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5989 Ohio

Profile Details

NPI number 1700074473
LBN Legal business name Dietz, Jennifer
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Aug 27th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700074473 NPPES
Ohio MEDICAID 1700074473

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