NPI 1235560509

Diane Botma, COTA

Practitioner Occupational Therapy Assistant Cedar Lake, IN

Practice location

Address: 12516 Marsh Landing Pkwy, Cedar Lake, IN 46303-8554
Phone: (219) 794-4524

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057002032 (IL)

Other Occupational Therapy Assistant providers in Indiana →

Registry record

NPI: 1235560509
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2013
Record last updated: 11 Dec 2013

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.