Individual
DIANE MARIE DESILETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22655 BAYSHORE RD STE 160, PORT CHARLOTTE, FL 33980-2009
(941) 451-9743
Mailing address
157 RAROTONGA RD, NORTH PORT, FL 34287-3348
(941) 451-9743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT3916
ME
225XP0200X
Pediatric Occupational Therapist
Primary
OT21193
FL
Other
Enumeration date
06/10/2021
Last updated
09/30/2025
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