Gregory, Diane

Gregory, Diane is an sole proprietor health care provider with primary practice located at 2000 Boardwalk Place Dr , O Fallon MO 63368-3900. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Gregory, Diane can be contacted via phone (618) 292-2780.

Contact Information

Primary practice address
2000 Boardwalk Place Dr O Fallon MO 63368-3900
Phone: (618) 292-2780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2014024930 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 057.004125 Illinois

Profile Details

NPI number 1013391341
LBN Legal business name Gregory, Diane
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2015
Last updated Jul 19th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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