Individual
DIANA CAMILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
50 W 192ND ST APT 2, BRONX, NY 10468-4106
(917) 930-7022
Mailing address
50 W 192ND ST APT 2, BRONX, NY 10468-4106
(917) 930-7022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63020306
NY
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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