Provider Demographics
NPI:1477897742
Name:ABER, DIANA ELIZABETH (MA OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:ELIZABETH
Last Name:ABER
Suffix:
Gender:F
Credentials:MA OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25142 WAGHORN RD NW
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-9448
Mailing Address - Country:US
Mailing Address - Phone:136-039-4688
Mailing Address - Fax:
Practice Address - Street 1:25142 WAGHORN RD NW
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-9448
Practice Address - Country:US
Practice Address - Phone:136-039-4688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator