Individual
DIANNA BOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1318 WAUKEGAN RD, GLENVIEW, IL 60025-3022
(847) 486-4140
Mailing address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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