Individual
MRS. CAROL V DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
141 BEACH 56TH PL APT 721, ARVERNE, NY 11692-1917
(347) 499-9578
Mailing address
141 BEACH 56TH PL APT 721, ARVERNE, NY 11692-1917
(347) 499-9578
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008302
NY
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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