Individual
MRS. CHRISTY KAY DIEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
530 S LINN AVE, NEW HAMPTON, IA 50659-2002
(641) 394-3151
Mailing address
21545 W AVE, HAWKEYE, IA 52147-8293
(563) 429-2100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00074
IA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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