Individual
DIANE R BACHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5576 W SAMPLE RD, MARGATE, FL 33073-3423
(954) 974-2977
Mailing address
1573 NW 121ST DR, CORAL SPRINGS, FL 33071-7896
(954) 340-3777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9949
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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