Individual
DIANA L OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
151 SUMMIT AVE, SUMMIT, NJ 07901-2813
(908) 598-0228
Mailing address
540 MAIN ST, 4A, CHATHAM, NJ 07928-2129
(973) 998-1270
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00383900
NJ
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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