Individual
MS. DIANE LOUISE GABANYIC
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS OTR L
Contact information
Practice address
129 HAMPTON ST, ROCK HILL, SC 29730-4509
(803) 980-4900
(803) 980-4902
Mailing address
129 HAMPTON ST, ROCK HILL, SC 29730-4509
(803) 980-4900
(803) 980-4902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
430
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0256
—
SC
Enumeration date
12/22/2005
Last updated
07/08/2007
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