Individual
MRS. DIANE ERNA ROYSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5214 S EAST ST, BUILDING D SUITE 1, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3750
Mailing address
5214 S EAST ST, BUILDING D SUITE 1, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004274A
IN
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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