Individual
MRS. DIANE LYN MAYHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1600 MCPHERSON AVE, COUNCIL BLUFFS, IA 51503-4858
(712) 322-9285
Mailing address
60908 LEVI RD, GLENWOOD, IA 51534-6426
(712) 527-3064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01033
IA
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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