Individual
DIANDRA HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14201 W. SUNRISE BLVD., UNIT 107, SUNRISE, FL 33323
(954) 756-2818
(954) 514-1126
Mailing address
14201 W. SUNRISE BLVD., UNIT 107, SUNRISE, FL 33323
(954) 756-2818
(954) 514-1126
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18893
FL
225X00000X
Occupational Therapist
OT18893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100054600
—
FL
Enumeration date
05/30/2018
Last updated
04/24/2019
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