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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962469924 NPPES
Georgia MEDICAID 00907552A

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