Dianne Issen OTR/L

NPI 1669663035 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1669663035
Gender Female
Enumeration Date 08/09/2007
Last Updated 08/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4030 INMAN PARK LANE
BUFORD GA, 30519, US
Phone (678) 482-6100
Fax (770) 932-5684
Business Location
2108 WOODIRON DR
DULUTH GA, 30097-7498, US
Phone (678) 482-6100
Fax (770) 932-5684
Toxanomy
Taxonomy Code 225XP0200X
License State Georgia
License Number OT003740
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According to our database, Dianne Issen OTR/L NPI is 1669663035, taxonomy code is 225XP0200X and license number is OT003740, license state is located at Georgia. Dianne Issen OTR/L physically located at 4030 Inman Park Lane, Buford GA, 30519. NPI Number Dianne Issen OTR/L has the Individual type.

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1669663035 NPI number is provided on an as is basis without warranty of any kind. 1669663035 is maintained by the National Plan & Provider Enumeration System. The contents of Dianne Issen OTR/L are for informational purposes only.