Provider Demographics
NPI:1902058472
Name:DREILING, DIANN S (OTR)
Entity Type:Individual
Prefix:MRS
First Name:DIANN
Middle Name:S
Last Name:DREILING
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 1:1478 S MOLINE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4231
Mailing Address - Country:US
Mailing Address - Phone:303-755-8330
Mailing Address - Fax:303-755-8330
Practice Address - Street 1:1478 S MOLINE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4231
Practice Address - Country:US
Practice Address - Phone:303-755-8330
Practice Address - Fax:303-755-8330
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAA256289225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist