Individual
MRS. DIANE JOYCE QUISENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-5578
Mailing address
7922 W ADOBE DR, GLENDALE, AZ 85308-6151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0492
AZ
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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