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Individual

DIANE O'MALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
518 CIRCLEWOOD DR, VENICE, FL 34293-7019
(802) 989-5216
Mailing address
518 CIRCLEWOOD DR, VENICE, FL 34293-7019
(802) 989-5216

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072-000042
VT
225XE0001X
Environmental Modification Occupational Therapist
Primary
OT-13801
FL

Other

Enumeration date
10/23/2009
Last updated
07/09/2019
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