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NPI Code Detail

MEDICARE: MRS. DIANE CASEY KLAHN OTR

MEDICARE:  MRS. DIANE CASEY KLAHN  OTR
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
1225XP0200XPediatric Occupational TherapistOT1523FL

General Provider Information

NPI Number : 1336361872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE CASEY KLAHN OTR
Provider Business Mailing Address
First Line : 11862 ISLAND LAKES LN
Second Line :
City : BOCA RATON
State : FL
Zip : 33498-6819
Country : US
Telephone Number : 561-852-5950
Fax Number :
Provider Business Practice Location Address
First Line : 4113 NORTH DIXIE HIGHWAY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33064-4207
Country : US
Telephone Number : 954-782-6146
Fax Number : 954-782-1223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. DIANE CASEY KLAHN OTR” Practice Location

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