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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANE KAY MARCELLO, PTA

Active

DIANE KAY MARCELLO, PTA is a Occupational Therapist healthcare provider located in LAKE GENEVA, Wisconsin. NPI 1316170814 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LAKE GENEVA, WI

Registration Details

NPI Number
1316170814
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2009 (16.978198407103 yrs)
Last Updated
Oct 15, 2012
License
962-19 (WI)

Practice Information

Address
211 S CURTIS ST
LAKE GENEVA, WI, 531472052
Browse WI providers · Browse ZIP 53147
Phone
2622483145
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in LAKE GENEVA, WI

Name Credential NPI
JOHN VINCENT JACOBSON PTA 1578702916
AMY CARROLL PTA 1306126115
MATTHEW J GEYSO PTA 1881941508
BENJAMIN BILKE 1609242759
DANIEL GERBLICK II 1295246304
BREANNA JOHNSON 1134748916
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.