Individual
EDWARD DIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-4223
Mailing address
1675 SE OLSON DR, WAUKEE, IA 50263-8233
(319) 939-6877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
086094
IA
225XG0600X
Gerontology Occupational Therapist
086094
IA
225XN1300X
Neurorehabilitation Occupational Therapist
086094
IA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
086094
IA
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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