Individual
DIANA MARIE TOMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
109 S ZETTEROWER AVE, STATESBORO, GA 30458-4898
(912) 489-1258
(912) 764-7006
Mailing address
1099 JOHNNY BRANNEN RD, STATESBORO, GA 30458-6576
(912) 856-3247
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003264
GA
Other
Enumeration date
01/09/2008
Last updated
01/19/2008
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