Diane Marie Gassiraro

NPI #1790958577 in Edwardsville, Illinois

Provider Information

NPI Number: 1790958577
Entity Type: Individual
Name: Diane Marie Gassiraro
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 11, 2008
Last Updated: Apr 11, 2008

Practice Location

Address: 1303 GERBER WOODS DR
City: Edwardsville
State: Illinois
ZIP Code: 62025-3102
Phone: (618) 659-0959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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