Diane Gregory
Occupational Therapy Assistant
2000 Boardwalk Place Dr
O Fallon
, Missouri 63368-3900
Diane Gregory
Occupational Therapy Assistant
2000 Boardwalk Place Dr
O Fallon
, Missouri 63368-3900
(314) 852-4565
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Diane Gregory
- 3985 Marietta Dr
- Florissant, MO
- Zip : 63033-3214
- Phone : (314) 852-4565
Second Address
- Diane Gregory
- 2000 Boardwalk Place Dr
- O Fallon, MO
- Zip : 63368-3900
- Phone : (618) 292-2780
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 057.004125 | IL |
| Y | 224Z00000X | Occupational Therapy Assistant | 2014024930 | MO |
National Provider Identifier
| NPI | 1013391341 |
|---|---|
| Provider Name | Diane Gregory |
| First Address | Florissant, MO 63033-3214 |
| Second Address | O Fallon, MO 63368-3900 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2015 |
| Last Update Date | 19/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.