Individual
MRS. DIANA LYNN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 NE 179TH ST, NORTH MIAMI BEACH, FL 33162-1216
(305) 921-9257
Mailing address
1030 NE 179TH ST, NORTH MIAMI BEACH, FL 33162-1216
(305) 921-9257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2156
FL
225XP0200X
Pediatric Occupational Therapist
Primary
2156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891184300
—
FL
Enumeration date
11/14/2007
Last updated
05/07/2008
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