Individual
DIANE MARIE KOLESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2195 TEALSTONE DR, GERMANTOWN, TN 38139-3552
(901) 757-4181
Mailing address
2120 EXETER RD STE 110, GERMANTOWN, TN 38138-3900
(901) 624-8677
(901) 624-8676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000001872
TN
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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