Individual
DIANE STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
208 N CHURCH, SCHOENCHEN, KS 67667
(785) 639-5540
Mailing address
208 N CHURCH, SCHOENCHEN, KS 67667
(785) 639-5540
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00068
KS
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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