Individual
MS. DIANE FAYE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
718 JUPITER DR, MADISON, WI 53718-2950
(608) 663-8706
(608) 442-9926
Mailing address
608 HAROLD CT, STOUGHTON, WI 53589-5207
(608) 215-7868
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4994-26
WI
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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