Individual
RICARDO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
140 PRESCOTT ST, NORTH ANDOVER, MA 01845-1826
(978) 685-8086
Mailing address
50 JULIETTE ST, ANDOVER, MA 01810-1305
(978) 409-1626
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1582
MA
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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