Individual
COURTNEY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 RAMAPO BRAE LN, MAHWAH, NJ 07430-1021
(202) 423-7062
Mailing address
1003 RAMAPO BRAE LN, MAHWAH, NJ 07430-1021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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