Gabanyic, Diane Louise

Gabanyic, Diane Louise is an individual health care provider with primary practice located at 129 Hampton St , Rock Hill SC 29730-4509. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gabanyic, Diane Louise can be contacted via phone (803) 980-4900.

Contact Information

Primary practice address
129 Hampton St Rock Hill SC 29730-4509
Phone: (803) 980-4900
Fax: (803) 980-4902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 430 South Carolina

Profile Details

NPI number 1265419055
LBN Legal business name Gabanyic, Diane Louise
Credentials MS OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265419055 NPPES
South Carolina MEDICAID TH0256

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