Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE L BUCKLEY, COTA
Active Sole ProprietorDIANE L BUCKLEY, COTA is a Occupational Therapy Assistant healthcare provider located in PRAIRIE DU SAC, Wisconsin. NPI 1780735019 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · PRAIRIE DU SAC, WI
Registration Details
- NPI Number
- 1780735019
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2007 (19.556427961559 yrs)
- Last Updated
- Jul 8, 2007
- License
-
288027 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
80 1ST STPRAIRIE DU SAC, WI, 535781550Browse WI providers · Browse ZIP 53578
- Phone
- 6086437263
- Fax
- 6086437667
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.