Individual
MRS. DIANE ELAINE CAVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1240 PINEBROOK RD, VENICE, FL 34285-6421
(941) 488-6733
Mailing address
1303 OBSERVER CT, PUNTA GORDA, FL 33983-5936
(941) 979-8523
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT 13603
FL
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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