Individual
MS. VIRGINIA R DIEFFENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
5350 W 61ST PLACE, MISSION SPRINGS ALF, MISSION, KS 66205
(913) 831-7700
(913) 831-7733
Mailing address
7911 W 93RD, OVERLAND PARK, KS 66212
(913) 341-9533
(913) 262-8070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1700068
KS
225X00000X
Occupational Therapist
2005001474
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37219016
BCBS
KS
01
—
37219016
BCBS
MO
Enumeration date
04/26/2007
Last updated
07/08/2007
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