Diana Raska, OTR/L

Individual provider Active NPI Occupational Therapist · Hampton, IA

NPI 1780135525 · NPPES record last updated Oct 17, 2016

Key facts

NPI
1780135525
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
083890 (IA)
Practice address
1720 Central Ave E
Hampton, IA 50441-1869
Phone
(515) 382-3366
Fax
(515) 382-1576
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
083890IAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 083890 IA Yes

Addresses

Primary practice location

1720 Central Ave E
Hampton, IA 50441-1869

Mailing address

PO Box 461
Nevada, IA 50201-0461
Phone (515) 382-3366

Other providers in Hampton, IA

All providers in Hampton, IA · Occupational Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.