Individual
MRS. ELAINE MARIE DIESING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2333 N BRENTWOOD CIR, LECANTO, FL 34461-8536
(352) 746-6000
Mailing address
5181 N EL PASO TER, BEVERLY HILLS, FL 34465-2704
(352) 746-9539
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-8825
FL
Other
Enumeration date
10/30/2016
Last updated
10/30/2016
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