Diane Lynn Backous

NPI #1699106427 in Bondurant, Iowa

Provider Information

NPI Number: 1699106427
Entity Type: Individual
Name: Diane Lynn Backous
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 4, 2013
Last Updated: Dec 4, 2013

Practice Location

Address: 10929 NE 75TH ST
City: Bondurant
State: Iowa
ZIP Code: 50035-1146
Phone: (515) 779-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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