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Individual
MISS LUZ LEIDA DIAZ
Active
Individual
MISS LUZ LEIDA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002591
NY
225X00000X
Occupational Therapist
002591
PR
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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