Individual
MRS. DIANA Y ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
13296 NW 18TH ST, PEMBROKE PINES, FL 33028-2502
(954) 599-9130
Mailing address
13296 NW 18TH ST, PEMBROKE PINES, FL 33028-2502
(954) 599-9130
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT12685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892202100
—
FL
Enumeration date
02/25/2008
Last updated
04/22/2015
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