Individual
ADRIENNE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 W 56TH ST, INDIANAPOLIS, IN 46254-1402
(317) 297-3115
Mailing address
5137 LAKESHORE CT APT 1227, INDIANAPOLIS, IN 46250-4676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006835A
IN
Other
Enumeration date
01/26/2020
Last updated
07/26/2022
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