Diane Miller Supak
Diane Miller Supak is an Occupational Therapist in LA Grange, Texas. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
457 N Main StLA Grange, TX 78945-1937
Phone: (979) 968-5865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X |
|---|
Record details
| NPI number | 1356824916 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 10, 2018 |
| Last updated in NPPES | September 10, 2018 |
| Mailing address | 481 Fm 2503, Fayetteville, TX 78940-5101 |
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