# SARA S DIIESO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346274545
- **Gender:** F
- **Credential:** OTR/CHT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XH1200X | Hand Occupational Therapist | OT00899 | RI | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 10/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 26728 | BLUE CROSS BLUE SHIELD | RI |