MEDICARE: MRS. DIANA LYNNE LIVINGSTON OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	13188	NC
2	225X00000X	Occupational Therapist	780	SC

General Provider Information

NPI Number	:	1275988362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIANA LYNNE LIVINGSTON OTR/L

Provider Business Mailing Address
First Line	:	5911 MCCRIMMON PKWY FL 2
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5944
Country	:	US
Telephone Number	:	919-473-6033
Fax Number	:	888-671-1333

Provider Business Practice Location Address
First Line	:	507 CAROWILL DR APT 102
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-3383
Country	:	US
Telephone Number	:	919-473-6033
Fax Number	:	888-671-1333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2016
Last Update Date	:	02/10/2026

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