Diedre Lynn Armstrong, COTA
Individual provider Active NPI Occupational Therapy Assistant · Viroqua, WI
NPI 1619307477 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1619307477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5007-27 (WI)
- Practice address
- 614 S Rock Ave
Viroqua, WI 54665-1936 - Phone
- (608) 637-2171
- NPI assigned
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5007-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5007-27 | WI | Yes |
Addresses
Primary practice location
614 S Rock Ave
Viroqua, WI 54665-1936
Mailing address
3210 S Pleasant Dr
Holmen, WI 54636-9164
Phone (608) 780-7087
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5007-27 | Medicaid | WI |
Other providers in Viroqua, WI
- Adam Thomas Ackerman
- Jessica Marie Addington
- Aligned for Health Chiropractic, S.C.
- Gabrielle Lee Ames
- Bonnie Lynn Anderson
- Michael Jacob Ayers
- James Bacon
- Kyle Bakken
- Susan E Barendregt
- April Michelle Bartelt
All providers in Viroqua, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.