Mccluskey, Diane Constance
Mccluskey, Diane Constance is an individual health care provider with primary practice located at 3471 Deerfield Ln Nw , Kennesaw GA 30144-1888. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Mccluskey, Diane Constance can be contacted via phone (770) 792-5986.Contact Information
Primary practice address
3471 Deerfield Ln Nw
Kennesaw GA 30144-1888
Phone: (770) 792-5986
Fax: (678) 290-0173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT002845 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation | 225XN1300X | OT002845 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT002845 | Georgia |
Profile Details
| NPI number | 1962469924 |
|---|---|
| LBN Legal business name | Mccluskey, Diane Constance |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962469924 | NPPES |
| Georgia | MEDICAID | 00907552A |
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