Individual
DIANA DANIEL-ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BLS.
Contact information
Practice address
2714 60TH AVENUE TER W, BRADENTON, FL 34207-4422
(941) 753-3519
Mailing address
2714 60TH AVENUE TER W, BRADENTON, FL 34207-4422
(941) 753-3519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
04/13/2007
Last updated
08/17/2012
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