Individual
DIANE HARLOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1941
(608) 251-4156
(608) 257-3842
Mailing address
8054 WATTS RD, MADISON, WI 53719-3811
(608) 662-5062
(608) 662-5061
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1284
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1284
LICENSE
WI
Enumeration date
01/17/2008
Last updated
01/17/2008
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