Most Relevant Information
Provider Data
| NPI Number: | 1003047655 |
| Provider Name: | DIANE K O'NEIL OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 00002553 |
Most Important Dates
| Enumeration Date: | 07/30/2009 |
| Last Updated: | 11/29/2016 |
Provider Practice Location
202 WEST AVE
ALAMOSA
CO
811012156
Practice Location Phone/Fax
| Phone: | 7192981652 |
| Fax: |
Provider Mailing Location
202 WEST AVE
ALAMOSA
CO
811012156
Provider Mailing Phone/Fax
| Phone: | 7192981652 |
| Fax: |