DIEDRA PINE, MOT
Occupational Therapist - Pediatrics
Active
Individual
NPI: 1942321104
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist - Pediatrics | 225XP0200X | Yes | 01060048 (OR) |
Frequently Asked Questions
NPI 1942321104 is the National Provider Identifier for DIEDRA PINE, MOT, a Occupational Therapist - Pediatrics provider located in Portland, OR. This NPI was enumerated on April 3, 2007.
DIEDRA PINE, MOT practices at 1675 SW MARLOW AVE STE 200, Portland, OR 97225.
Quick Facts
- NPI
- 1942321104
- Type
- Individual
- Enumerated
- Apr 3, 2007
- Last Updated
- Jul 8, 2007
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