Diane Catherine Ducharme, OT

Individual provider Active NPI Occupational Therapist · Belton, MO

NPI 1861709115 · NPPES record last updated Sep 8, 2010

Key facts

NPI
1861709115
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2010030794 (MO)
Practice address
110 W Walnut St
Belton, MO 64012-4808
Phone
(816) 348-1000
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
2010030794MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Belton School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2010030794 MO Yes

Addresses

Primary practice location

110 W Walnut St
Belton, MO 64012-4808

Mailing address

110 W Walnut St
Belton, MO 64012-4808
Phone (816) 348-1000

Other providers in Belton, MO

All providers in Belton, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.