Diane Gassiraro PC

NPI #1104969211 in Edwardsville, Illinois

Provider Information

NPI Number: 1104969211
Entity Type: Organization
Organization Name: Diane Gassiraro PC
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1303 GERBER WOODS DR
City: Edwardsville
State: Illinois
ZIP Code: 62025
Phone: (618) 659-0959

Authorized Official

Name: MRS. DIANE MARIE GASSIRARO, OTRL
Title: REGISTERED OCCUPATIONAL THERAPIST
Phone: (618) 659-0959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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