Whalio Doctors

NPI 1013391341

Diane Gregory, COTAL

Practitioner Occupational Therapy Assistant O Fallon, MO

Practice location

Address
2000 Boardwalk Place Dr, O Fallon, MO 63368-3900
Phone
(618) 292-2780
Mailing address
3985 Marietta Dr, Florissant, MO 63033-3214

Registered specialties (2)

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2014024930 (MO)
Occupational Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.004125 (IL)

Registry record

NPI
1013391341
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Jul 2015
Record last updated
19 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.