Individual
DIANNE AGOSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6-25 CALLE 7, URB. SANTA ROSA, BAYAMON, PR 00959-6637
(787) 568-7283
Mailing address
321 EARLMONT PL, DAVENPORT, FL 33896-3090
(787) 568-7283
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1088
PR
225X00000X
Occupational Therapist
Primary
18759
FL
Other
Enumeration date
02/05/2016
Last updated
12/04/2017
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