# MRS. DIANE DOYLE GUBISCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295901825
- **Gender:** F
- **Credential:** PH.D, OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 2299 | MD | — |
| 225X00000X | Occupational Therapist | 0229 | MD | Yes |

## Other

- **Enumeration date:** 05/04/2008
- **Last updated:** 11/07/2022
