Individual
DIANE DURANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4454
Mailing address
2414 POINTE RD, WESTON, WI 54476-3967
(715) 432-9399
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3673
WI
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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