Individual
DIANE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
410 E MACK AVE, OLNEY, IL 62450-2319
(618) 395-7421
Mailing address
305 N HOLLY RD, OLNEY, IL 62450-3337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005682
IL
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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