Individual
MRS. DIANE MILLWARD NEELY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 FREEDOM WAY, 294, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
2814 INGLESIDE DR, AUGUSTA, GA 30909-3715
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000691
GA
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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