Individual
MRS. DIANE GERALYN VANBUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3131 DANIELS RD STE 106, WINTER GARDEN, FL 34787-7013
(407) 614-0575
Mailing address
3131 DANIELS RD STE 106, WINTER GARDEN, FL 34787-7013
(407) 614-0575
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT2403
FL
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
07/26/2017
Last updated
03/17/2018
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