Individual
DIANE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
80 1ST ST, PRAIRIE DU SAC, WI 53578-1550
(608) 643-7263
(608) 643-7667
Mailing address
80 1ST ST, PRAIRIE DU SAC, WI 53578-1550
(608) 643-7263
(608) 643-7667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5004-26
WI
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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