Diane Gregory, COTA/L Valid NPI
Individual provider · Occupational Therapy Assistant · O Fallon, MO
- NPI
- 1013391341
- Type
- Individual (Type 1)
- Primary specialty
- Occupational Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 224Z00000X
- License number
- 2014024930 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2015-07-16
- Last updated
- 2015-07-19
Practice location
2000 Boardwalk Place Dr
O Fallon, MO 63368-3900
(618) 292-2780