Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 3499 | CO |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 3499 | CO |
NPI | 1265803647 |
---|---|
Provider Name | Diane Osaki |
First Address | Denver, CO 80231-5728 |
Second Address | Denver, CO 80218-1008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2015 |
Last Update Date | 12/10/2015 |