MS. DIANE STACKER, O.T.
Occupational Therapist
Active
Individual
NPI: 1497976195
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | - |
Frequently Asked Questions
NPI 1497976195 is the National Provider Identifier for MS. DIANE STACKER, O.T., a Occupational Therapist provider located in South Bend, IN. This NPI was enumerated on May 1, 2007.
MS. DIANE STACKER, O.T. practices at 2505 E JEFFERSON BLVD, South Bend, IN 46615.
Quick Facts
- NPI
- 1497976195
- Type
- Individual
- Enumerated
- May 1, 2007
- Last Updated
- Jul 9, 2007
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