Individual
MRS. DIANA LYNNE NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
646 EAST I, DAVID CITY, NE 68632
(402) 367-3045
Mailing address
2750 COUNTY ROAD A, VALPARAISO, NE 68065
(402) 784-6864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
64
NE
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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