Individual
MRS. TANIA MARIA DIAZ-FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, OTR/L, C-SIPT
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 662-5080
(786) 662-5081
Mailing address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 662-5080
(786) 662-5081
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT5247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010058700
—
FL
01
—
1982688230
HOSPITAL NPI NUMBER
—
Enumeration date
02/10/2009
Last updated
02/10/2009
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