Individual
DIANNA JEAN KREISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
900 TUCK ST, LEBANON, PA 17042-7446
(717) 273-8595
Mailing address
900 TUCK ST, LEBANON, PA 17042-7446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OPOO2459L
PA
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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