Individual
MRS. DIANE M TOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
641 211TH PL, DYER, IN 46311-1409
(219) 322-2076
Mailing address
641 211TH PL, DYER, IN 46311-1409
(219) 322-2076
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057000366
IL
224Z00000X
Occupational Therapy Assistant
Primary
32000102A
IN
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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