Individual
MS. DENIESE L LANCIANESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
56909 KIMBERLY DR, ELKHART, IN 46516-1256
(309) 369-9054
Mailing address
56909 KIMBERLY DR, ELKHART, IN 46516-1256
(309) 369-9054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004407A
IN
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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