Individual
DIANE K O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
202 WEST AVE, ALAMOSA, CO 81101-2156
(719) 298-1652
Mailing address
202 WEST AVE, ALAMOSA, CO 81101-2156
(719) 298-1652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00002553
CO
Other
Enumeration date
07/30/2009
Last updated
11/29/2016
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