Individual
DIANE MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1102 E CENTENNIAL DR, PITTSBURG, KS 66762-6643
(620) 232-0229
Mailing address
2703 N MICHIGAN ST, PITTSBURG, KS 66762-2741
(620) 230-0242
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00305
KS
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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