Individual
DIANELYS MAZARET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16900 SW 120TH CT, MIAMI, FL 33177-2132
(305) 281-7736
Mailing address
16900 SW 120TH CT, MIAMI, FL 33177-2132
(305) 281-7736
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13228
FL
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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