Individual
MRS. DIANA LINDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
275 WEEKS AVE, MANORVILLE, NY 11949-2041
(631) 874-3487
Mailing address
275 WEEKS AVE, MANORVILLE, NY 11949-2041
(631) 874-3487
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006393-1
NY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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