DIANE LEE

SUTHERLAND, IA
NPI1629290317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IA  01444)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: NE  1134)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- DIANE LEE OTA
506 E 4TH ST
SUTHERLAND, IA 51058-7668
Phone number: 712-446-3857
Mailing Address
-- DIANE LEE OTA
406 LAKE ST
ALTA, IA 51002-1453
Phone number: 712-200-3103