| NPI Details | |
|---|---|
| NPI | 1124252150 |
| Gender | Female |
| Enumeration Date | 05/05/2009 |
| Last Updated | 05/05/2009 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 200 MEDICAL CENTER DR SW FORT PAYNE AL, 35968-3458, US |
|
| Phone | (256) 997-6420 |
| Fax | |
| Business Location | |
|---|---|
| 479 MITCHELL DR RAINSVILLE AL, 35986-6534, US |
|
| Phone | (256) 638-7548 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225X00000X |
| License State | Alabama |
| License Number | 0403 |
| Remove 1124252150 NPI Number | |
According to our database, Diane Burnett Crisman OTR/L NPI is 1124252150, taxonomy code is 225X00000X and license number is 0403, license state is located at Alabama. Diane Burnett Crisman OTR/L physically located at 200 Medical Center Dr Sw, Fort Payne AL, 35968-3458. NPI Number Diane Burnett Crisman OTR/L has the Individual type.
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1124252150 NPI number is provided on an as is basis without warranty of any kind. 1124252150 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Burnett Crisman OTR/L are for informational purposes only.
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