Individual
DIANA ROSE MORCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2259 33RD ST APT 1, ASTORIA, NY 11105-2424
(929) 421-2147
Mailing address
2259 33RD ST APT 1, ASTORIA, NY 11105-2424
(929) 421-2147
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
009797
NY
225X00000X
Occupational Therapist
Primary
027211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102790954
—
NY
Enumeration date
07/20/2018
Last updated
11/07/2022
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