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Diana Schafer

Developmental Therapist in Corbin, KY. Individual provider (NPI-1).

NPI number1013370147
StatusActive
Last updated in NPPESApr 5, 2016

Details

NPI
1013370147
Entity type
Individual (NPI-1)
Name
Diana Schafer
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 5, 2016
Last updated
Apr 5, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist201134480KYYes

Practice location

117 Kelsey Brook Ln
Corbin, KY 40701-7871

Phone 606-261-4221

Mailing address

117 Kelsey Brook Ln
Corbin, KY 40701-7871

Phone 606-261-4221

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