Individual
MRS. DIANE J CORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7741 NW 10TH CT, PLANTATION, FL 33322-5110
(954) 476-9748
Mailing address
7741 NW 10TH CT, PLANTATION, FL 33322-5110
(954) 476-9748
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3095
FL
225XP0200X
Pediatric Occupational Therapist
3095
FL
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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