Individual
MS. DIANE L. DALZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1500 WEISS STREET, SAGINAW, MI 48732
(989) 895-9730
(989) 791-2203
Mailing address
43 E. SHARLEAR DRIVE, ESSEXVILLE, MI 48732
(989) 895-9730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
52010001961
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201001961
STATE OF MI NUMBER
MI
Enumeration date
01/12/2007
Last updated
07/08/2007
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