Provider Demographics
NPI:1336361872
Name:KLAHN, DIANE CASEY (OTR)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:CASEY
Last Name:KLAHN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11862 ISLAND LAKES LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6819
Mailing Address - Country:US
Mailing Address - Phone:561-852-5950
Mailing Address - Fax:
Practice Address - Street 1:4113 NORTH DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-4207
Practice Address - Country:US
Practice Address - Phone:954-782-6146
Practice Address - Fax:954-782-1223
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOT1523225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics