Individual
JANET DIEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
576 ECKSTEIN RD, BEAUFORT, MO 63013-1732
(314) 800-4075
Mailing address
576 ECKSTEIN RD, BEAUFORT, MO 63013-1732
(314) 800-4075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2011028091
MO
Other
Enumeration date
09/01/2011
Last updated
11/26/2023
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