Individual
DIANA SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 KELSEY BROOK LN, CORBIN, KY 40701-7871
(606) 261-4221
Mailing address
117 KELSEY BROOK LN, CORBIN, KY 40701-7871
(606) 261-4221
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201134480
KY
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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