Individual
DIANE BURNETT CRISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
(256) 997-6420
Mailing address
479 MITCHELL DR, RAINSVILLE, AL 35986-6534
(256) 638-7548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0403
AL
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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