Individual
DIANE S DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
130 CENTER AVE, BLACK MOUNTAIN, NC 28711-3509
(828) 338-9025
(888) 739-8184
Mailing address
538 DYE LEAF LN, FAIRVIEW, NC 28730-9652
(828) 628-4644
(828) 628-4644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1435
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6748
BCBS PIN
NC
Enumeration date
07/15/2007
Last updated
07/07/2025
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